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Diabetes, anemia and old age may increase Dacron-cuffed catheter related infection risk among hemodialysis patients: Study

Dr Kartikeya KohliWritten by Dr Kartikeya Kohli Published On 2024-04-15T20:00:11+05:30  |  Updated On 16 April 2024 12:40 PM IST
Diabetes, anemia and old age may increase Dacron-cuffed catheter related infection risk among hemodialysis patients: Study
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Diabetes, anemia and old age may increase risk Dacron-cuffed catheter related infection among hemodialysis patients suggests a study published in the BMC Nephrology.

A study was done to provide theoretical basis for prevention of a Dacron-cuffed catheter related infection (CRI), the risk factors of CRI in hemodialysis patients were systematically evaluated. Eight databases, including PubMed, Cochrane library, EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Database (CBM), Wanfang Database and Chinese Scientific Journal Database (VIP), were searched to screen out literatures related to the risk factors of long-term indwelling a Dacron-cuffed CRI in hemodialysis. Meta-analysis of risk factors for a Dacron-cuffed CRI in hemodialysis and publication bias test were performed using RevMan 5.4 software. Results: After screening, 13 literatures involving a Dacron-cuffed CRI were included, with a total of 625 patients, and the infection rate was 11.7%. The combined OR value and 95% confidence interval (CI) of all factors were: Combined with Diabetes (1.94, 1.51 ~ 2.50), Hb (1.82, 1.35 ~ 2.44), age (2.38, 1.06 ~ 5.34), catheter indwelling time (1.79, 1.21 ~ 2.66), serum albumin (2.26, 1.25 ~ 4.08), catheter indwelling site (3.29, 1.74 ~ 6.23) and the number of tube placement (5.40, 2.65 ~ 11.02).The main risk factors for a Dacron-cuffed CRI in hemodialysis were combined with diabetes, hemoglobin level, age, catheter indwelling time, serum albumin level, femoral vein catheter indwelling and catheterization times. In other words, hemodialysis patients are at higher risk of CRI if they have diabetes, or if they have a lower hemoglobin level, or if they are older, or if they have a longer duration of catheterization, or if they have a lower serum albumin level, or if they have a femoral vein catheter, or if they have more catheters.



Reference:

Chen, W., Wang, Z., Wang, G. et al. A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis. BMC Nephrol 25, 126 (2024). https://doi.org/10.1186/s12882-024-03568-0


Keywords:

Diabetes, anemia and old age, increase risk, Dacron-cuffed catheter, infection, hemodialysis patients, study, BMC Nephrology, Chen, W., Wang, Z., Wang, G.




Diabetesanemia and old ageincrease riskDacron-cuffed catheterinfectionhemodialysis patientsstudy
Source : BMC Nephrology
Dr Kartikeya Kohli
Dr Kartikeya Kohli

    Dr Kartikeya Kohli is an Internal Medicine Consultant at Sitaram Bhartia Hospital in Delhi with super speciality training in Nephrology. He has worked with various eminent hospitals like Indraprastha Apollo Hospital, Sir Gangaram Hospital. He holds an MBBS from Kasturba Medical College Manipal, DNB Internal Medicine, Post Graduate Diploma in Clinical Research and Business Development, Fellow DNB Nephrology, MRCP and ECFMG Certification. He has been closely associated with India Medical Association South Delhi Branch and Delhi Medical Association and has been organising continuing medical education programs on their behalf from time to time. Further he has been contributing medical articles for their newsletters as well. He is also associated with electronic media and TV for conduction and presentation of health programs. He has been associated with Medical Dialogues for last 3 years and contributing articles on regular basis.

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