Amer Azhar, Mohammad Ikram, Shandana Amer, Nisar Anwar.
Temporary hemo-dialysis catheter related infections.
J Med Sci Jan ;19(2):82-5.

Objectives: To find the frequency of hemo-dialysis double lumen catheter infection, type of organism and their sensitivity. Material and Methods: The study was conducted in the Department of Nephrology, Khyber Teaching Hospital, Peshawar, from January to July 2008. The study included 100 cases of renal failure requiring hemo-dialysis through temporary access. All the patients were observed for evidence of fever, erythema and pus discharge from the exit site. The catheter tips were sent for culture and antibiotic sensitivity was seen. Results: Out of 100 patients, 43(43%) had positive culture. Among the infected group, 20(20%) had infection due to gram-positive organisms and 23(23%) had gram-negative infection. Highest rates of infection (54%) were observed with femoral vein catheterization. All the gram-positive cocci (100%) were sensitive to vancomycin and 95% of the gram-negative bacilli were sensitive to imipenem. Sensitivity to other antibiotics was lower in frequency. Conclusion: We conclude that temporary hemo-dialysis access is associated with a high frequency of infection with both gram-positive and gram-negative organisms. Almost all gram-positive cocci are sensitive to vancomycin and most of the gram-negative are sensitive to imipenem.

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