Strong Shean, Mukai Lisle
Southern California Renal Disease Council, Inc. (ESRD Network 18), Los Angeles, CA, USA.
Nephrol Nurs J. 2010 Sep-Oct;37(5):547-50; quiz 551.
Infections in patients on chronic hemodialysis pose tremendous long-term health issues because these patients are inherently susceptible to infection. This is due to prolonged periods of vascular usage and that the body systems of these patients are already immunosuppressed due to end stage renal disease and dialysis. Exposure to bacterial; nosocomial, and other infections related to vascular accesses cause morbidity and mortality. Whether the patient has a central venous catheter, an arteriovenous graft, or the access of choice--the arteriovenous fistula, a quality approach to reducing infection can be used to improve patient outcomes.
慢性血液透析患者的感染会引发巨大的长期健康问题，因为这些患者本身就易受感染。这是由于血管使用时间延长，且这些患者的身体系统因终末期肾病和透析已经处于免疫抑制状态。接触细菌、医院感染以及与血管通路相关的其他感染会导致发病和死亡。无论患者使用的是中心静脉导管、动静脉移植物还是首选通路——动静脉内瘘，采用优质的方法来减少感染都有助于改善患者预后。
