Infection Rate of Tunneled Hemodialysis Catheters
Yıl: 2021 Cilt: 23 Sayı: 1 Sayfa Aralığı: 55 - 60 Metin Dili: İngilizce DOI: 10.18678/dtfd.869083 İndeks Tarihi: 29-07-2022
Infection Rate of Tunneled Hemodialysis Catheters
Öz: Aim: Tunneled hemodialysis catheters are frequently used for hemodialysis patients andprovide temporary venous access. However, it causes complications such as catheter-relatedinfection, pneumothorax and hematoma. In this study, we aimed to evaluate the infections,complications and catheter patency rates that developed after the use of tunnel cathetersconnected to three different access routes.Material and Methods: A total of 145 patients who underwent hemodialysis due to chronicrenal failure and who were placed on permanent hemodialysis catheter were included. In thisstudy, jugular vein route was used as the first choice for the dialysis access route, when otheraccess routes were needed due to complications and infection, femoral vein route was thesecond choice, while subclavian vein route was the third choice.Results: The femoral vein group had the highest infection rate and the lowest patency rate(both p<0.001). The infection rate at the end of one year was 65.3%, 95.6%, and 64.0% for thejugular vein, femoral vein and subclavian vein, respectively. At the end of one year, patencyrates for the jugular vein, subclavian vein and femoral vein were 57.3%, 6.7%, and 32.0%,respectively.Conclusion: Although the jugular vein is the first choice for venous entry in hemodialysispatients, femoral and subclavian veins are also used. In this study, the jugular vein was the bestoption in terms of patency rate and infection. The femoral vein, on the other hand, had theworst patency rate and was also the access route with the highest infection rate.
Anahtar Kelime: Tünelli Hemodiyaliz Kateterlerinin Enfeksiyon Oranları
Öz: Amaç: Tünelli hemodiyaliz kateterleri hemodiyaliz hastaları için sıklıkla kullanılır ve hastalara hemodializ için geçici venöz erişim sağlar. Ancak kateter ile ilişkili enfeksiyon, pnomotoraks ve hematom gibi komplikasyonlara neden olur. Bu çalışmada, üç farklı giriş yoluna bağlı tünelli kateterlerin enfeksiyon, komplikasyon ve açıklık oranlarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya kronik böbrek yetmezliği nedeniyle hemodiyaliz yapılan ve kalıcı hemodiyaliz kateteri takılan toplam 145 hasta dahil edildi. Bu çalışmada diyaliz giriş yolu olarak juguler ven yolu ilk tercih olarak kullanıldı, komplikasyonlar ve enfeksiyona bağlı olarak diğer giriş yollarına ihtiyaç duyulduğunda femoral ven yolu ikinci tercih olurken subklavian ven yol ise üçüncü tercih oldu. Bulgular: Femoral ven grubu en yüksek enfeksiyon oranına ve en düşük açıklık oranına sahipti (her iki p<0.001). Birinci yılın sonunda enfeksiyon oranı juguler ven, femoral ven ve subklavyen vende sırasıyla %65,3; %95,6 ve %64,0 idi. Birinci yıl sonunda juguler ven, subklavyen ven ve femoral ven açıklık oranları ise sırasıyla %57,3; %6,7 ve %32,0 idi. Sonuç: Hemodiyaliz hastalarında juguler ven venöz giriş için ilk seçenek olmasına rağmen femoral ve subklavyen venler de kullanılmaktadır. Bu çalışmada, juguler ven açıklık oranı ve enfeksiyon açısından en iyi seçenek idi. Diğer taraftan, femoral ven ise en kötü açıklık oranına sahipti ve aynı zamanda enfeksiyon oranı en yüksek olan giriş yolu idi.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Ecevit A, KARACA O, Kalender M, Darcin O (2021). Infection Rate of Tunneled Hemodialysis Catheters. , 55 - 60. 10.18678/dtfd.869083 |
| Chicago | Ecevit Ata Niyazi,KARACA OKAY GÜVEN,Kalender Mehmet,Darcin Osman Tansel Infection Rate of Tunneled Hemodialysis Catheters. (2021): 55 - 60. 10.18678/dtfd.869083 |
| MLA | Ecevit Ata Niyazi,KARACA OKAY GÜVEN,Kalender Mehmet,Darcin Osman Tansel Infection Rate of Tunneled Hemodialysis Catheters. , 2021, ss.55 - 60. 10.18678/dtfd.869083 |
| AMA | Ecevit A,KARACA O,Kalender M,Darcin O Infection Rate of Tunneled Hemodialysis Catheters. . 2021; 55 - 60. 10.18678/dtfd.869083 |
| Vancouver | Ecevit A,KARACA O,Kalender M,Darcin O Infection Rate of Tunneled Hemodialysis Catheters. . 2021; 55 - 60. 10.18678/dtfd.869083 |
| IEEE | Ecevit A,KARACA O,Kalender M,Darcin O "Infection Rate of Tunneled Hemodialysis Catheters." , ss.55 - 60, 2021. 10.18678/dtfd.869083 |
| ISNAD | Ecevit, Ata Niyazi vd. "Infection Rate of Tunneled Hemodialysis Catheters". (2021), 55-60. https://doi.org/10.18678/dtfd.869083 |
| APA | Ecevit A, KARACA O, Kalender M, Darcin O (2021). Infection Rate of Tunneled Hemodialysis Catheters. Düzce Tıp Fakültesi Dergisi, 23(1), 55 - 60. 10.18678/dtfd.869083 |
| Chicago | Ecevit Ata Niyazi,KARACA OKAY GÜVEN,Kalender Mehmet,Darcin Osman Tansel Infection Rate of Tunneled Hemodialysis Catheters. Düzce Tıp Fakültesi Dergisi 23, no.1 (2021): 55 - 60. 10.18678/dtfd.869083 |
| MLA | Ecevit Ata Niyazi,KARACA OKAY GÜVEN,Kalender Mehmet,Darcin Osman Tansel Infection Rate of Tunneled Hemodialysis Catheters. Düzce Tıp Fakültesi Dergisi, vol.23, no.1, 2021, ss.55 - 60. 10.18678/dtfd.869083 |
| AMA | Ecevit A,KARACA O,Kalender M,Darcin O Infection Rate of Tunneled Hemodialysis Catheters. Düzce Tıp Fakültesi Dergisi. 2021; 23(1): 55 - 60. 10.18678/dtfd.869083 |
| Vancouver | Ecevit A,KARACA O,Kalender M,Darcin O Infection Rate of Tunneled Hemodialysis Catheters. Düzce Tıp Fakültesi Dergisi. 2021; 23(1): 55 - 60. 10.18678/dtfd.869083 |
| IEEE | Ecevit A,KARACA O,Kalender M,Darcin O "Infection Rate of Tunneled Hemodialysis Catheters." Düzce Tıp Fakültesi Dergisi, 23, ss.55 - 60, 2021. 10.18678/dtfd.869083 |
| ISNAD | Ecevit, Ata Niyazi vd. "Infection Rate of Tunneled Hemodialysis Catheters". Düzce Tıp Fakültesi Dergisi 23/1 (2021), 55-60. https://doi.org/10.18678/dtfd.869083 |
