Catheter related blood Stream Infection (CRBSI) Associated with Hemodialysis non-Tunneled Dialysis catheters in Tertiary care Hospital—A Preliminary Study Veena N.K.1, Attur Ravindra Prabhu2, Nayak Megha Nagaraj3,* 1Assistant Professor, School of Allied Health Sciences 2Professor & Unit Head, Nephrology Department, Kasturba Medical College 3Assistant Professor, School of Allied Health Sciences, MAHE, Manipal, Karanataka, India *Corresponding Author: Megha Nagaraj Nayak Assistant Professor, School of Allied Health Sciences, MAHE, Manipal, Karanataka, India, Email: megha.nayak@manipal.edu
Online published on 4 June, 2019. Abstract Introduction Dialysis catheters are commonly used as temporary vascular access in hemodialysis individuals. These catheters are referred to as irreplaceable tool because of their significant role in providing easy and instant access to the circulation for delivery of Hemodialysis under diverse clinical situations. The most common complications associated with dialysis catheter includes mechanical and or infectious resulting in early catheter removal, morbidity and or mortality. Although Catheter Related Blood Stream Infection (CRBSI) is reported to have an adverse impact on quality of life, survival and healthcare cost, dialysis catheters are quite frequently used for vascular access till date. It is essential for dialysis unit to have database on the CRBSI to minimize the risks of CRBSI and thereby improve life quality. Aim To investigate CRBSI associated with non-tunnelled dialysis catheters in a tertiary care hospital. Objectives (a) To compare infection between the types of non-tunnelled dialysis catheters (b) To compare the infection across the gender Method Prospective observational study. A total of N=633 individuals with non tunnelled dialysis catheter, undergoing HD for the period of eight months were enrolled in the study. Participants prospectively followed up for evidence of CRBSI post insertion of catheter until the point of catheter removal or the completion of the study. Descriptive statistics was used to analyse the data. Mann Whitney U test was used as test of significance to compare between the groups with p<0.001. Result This study had 37 CRBSI individuals. The infection rate differed across the types of nontunneled dialysis catheters and infection observed was predominant among the males as compared to females. Conclusion It can be concluded that the incidence of CRBSI was observed more in internal jugular vein dialysis catheters as compared to femoral vein dialysis catheters possibly due to extension of the catheters in situ among the participants enrolled in the study. Top Keywords Hemodialysis, CRBSI, Dialysis catheters, vascular access, Non tunnelled dialysis catheter, Non tunnelled femoral vein dialysis catheter, Non tunnelled Internal jugular vein dialysis catheter, Quality of life. Top |