Saif Ullah Khan, Muhammad Amir, Ali Javed, Shazia Nisar, Shazia Nisar, Malik Nadeem Azam Khan, Muhammad Arsalan Javed.
Comparision of frequency of infection between internal jugular and femoral vein double lumen hemodialysis catheter in chronic kidney disease (CKD) patients.
Pak Armed Forces Med J Jan ;71(3):993-95.

Objective: To compare the frequency of infection between internal jugular and femoral vein double lumen haemodialysis catheter in chronic kidney disease (CKD) patients. Study Design: Comparative prospective study. Place and Duration of Study: Department of Medicine, Combined Military Hospital, Peshawar, from Jan to Jun 2018. Methodology: A total of 400 patients (200 patients in each group) were included in this study. After insertion of catheter the patients were divided into 2 groups, group-A (jugular) and group-B (femoral) by lottery method and followed for development of catheter related blood stream infection (CRBI) within two weeks after its insertion. Results: Mean age of the patients was 51.68 ± 13.29 and 50.89 ± 14.31 years in group-a and b, respectively. In group-A 193 (96.5%) and in group-B 196 (98%) patients presented with chronic kidney disease duration of <4 years, in group-A 7 (3.5%) and in group-B 4 (2%) patients presented with chronic kidney disease duration of >5 years. In both groups, 65 (32.5%) were diabetic. Catheter related blood stream infection (CRBSI) was found in 13 (6.5%) and 8 (14%) in group-A & B, respectively. Conclusion: Infection frequently complicates double lumen catheters used for haemodialysis and infections are more frequent in patients with femoral vein catheter as compared to internal jugular vein.

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