Methicillin-Resistant Staphylococcus aureus [Mrsa] Catheter Related Bloodstream Infections in Renal

Central venous catheters in nephrology were originally introduced to provide temporary vascular access for shortterm dialysis and were never meant to play a part in the dialysis patients’ long term care. Currently, tunneled, cuffed, doublelumen silastic catheters are used for permanent vascular access in many patients, particularly those with limited alternative options for vascular access and those who are unfit for major vascular surgery hence becoming an acceptable form of permanent vascular access [1-3]. Fistulas require a much longer maturation time than grafts driving the duration of catheter-dependence for vascular access substantially in haemodialysis patients. This transition has, also in part, been driven by a change in preference for arterio-venous fistulas (AVFs) rather than arterio-venous grafts (AVGs). In addition, catheters are often used for the initial dialysis session (in 80%of incident haemodialysis patients in some cases) often causing the patient to refuse fistula formation in the future [2].