Tunneled dialysis catheters (TDC) are extensively used for long-term venous hemodialysis access and their use is frequently associated with infectious complications. Catheter-related bacteremia (CRB) is the most common and important infection associated with TDC use and may be caused by a wide variety of Gram-positive or Gram-negative organisms. Prevention of CRB can be difficult despite use of...

BACKGROUND & AIMS Catheter-related bloodstream infections remain the major threat for Home Parenteral Nutrition programs. Taurolidine, a potent antimicrobial agent, holds promise as an effective catheter lock to prevent such infections. Aim of the present study was to compare taurolidine with heparin, the most frequently used lock, in this respect in these high-risk patients. METHODS Thirty p...

Abstract Background and Aims Tunneled double-lumen catheters are increasingly used as permanent vascular access in hemodialysis patients, particularly those with limited options. Catheter-related bloodstream infection (CRBSI) is a major cause of hospitalization increased mortality cost. The purpose to study the effect pathogen on clinical course patients CRBSI. Method Patients hospitalized our ...

There is growing concern about the development of antibacterial resistance with the use of antibiotics in catheter lock solutions. The use of an antibiotic that is not usually used to treat other serious infections may be an alternative that may reduce the clinical impact should resistance develop. We conducted a randomized controlled trial to compare a solution of minocycline and EDTA with the...

BACKGROUND This study assesses the impact that a resident oversight and credentialing policy for central venous catheter (CVC) placement had on institution-wide central line associated bloodstream infections (CLABSI). We therefore investigated the rate of CLABSI per 1,000 line days during the 12 months before and after implementation of the policy. METHODS This is a retrospective analysis of ...

Abstract INTRODUCTION Surgical approach to peritoneal dialysis (PD) catheters is the main step in achieving successful PD therapy. It important conduct a simple and safe procedure, with adequate visualization of path location catheter, avoid discontinuation PD. The tunneled laparoscopic catheter (TLPDC) reliable surgical alternative patients who are candidates for MATERIAL AND METHODS This retr...

Abstract Background and Aims Though tunneled cuffed catheters (TCCs) are frequently inserted for treating thrombotic malfunction, it is unclear whether such exchanges associated with an increased risk of pulmonary embolism (PE). This study sought to investigate the incidence PE among patients hemodialysis catheter- related right atrial thrombosis (CRAT). Method We conducted a retrospective coho...

BACKGROUND Catheter-related bloodstream infections (CRBSIs) are associated with high morbidity and mortality as well as increased medical costs. Cancer patients, who are often immunocompromised, are susceptible to CRBSI while receiving home parenteral nutrition (HPN). We evaluated the incidence of and factors associated with CRBSIs in cancer patients undergoing HPN managed using a standardized ...

BACKGROUND/AIMS Fragmented care in nephrology can cause treatment delays. Nephrologists are qualified to perform vascular access-related procedures because they understand the pathophysiology of renal disease and perform physical examination for vascular access. We compared treatment delays associated with tunneled hemodialysis catheter (TDC) placement between interventional radiologists and ne...