Clinic of Nephrology and Hemodialysis, UCCK Kosovo Hospital, Circle n.n. 10000; Medical Faculty, University of Pristina "Hasan Prishtina", Circle n.n. 10000, Pristina, Kosovo.
Clinic of Hematology, UCCK Kosovo Hospital, Circle n.n. 10000, Pristina, Kosovo.
Saudi J Kidney Dis Transpl. 2021 Sep-Oct;32(5):1348-1355. doi: 10.4103/1319-2442.344754.
The objective of this study is to evaluate the frequency of infections from central venous temporary catheters and the type of a microorganism caused, from January 2017 up to December 2019. This study was performed on patients who were on hemodialysis (HD) through the central temporary venous catheter, right and left femoral vein, right jugular vein, and right subclavian vein.The patients in the HD center in Pristina, Kosovo, were used as a clinical sample. In this study, 1902 patients with temporarily central venous catheters (CVCs) were involved, while the control group consisted of 642 patients. Both groups were matched for age and gender. In all patients and the subjects of the control group, following data were obtained: Anamnesis, medical examination, as well as biochemical and hematological laboratory tests, CVC swab and antibiogram and hemoculture. Data analysis was performed using the descriptive statistical methods and the Chi-square test comparing the laboratory results of a HD patients treated through the central temporary venous catheter. Based on the results of this research, higher incidence of infections occurred with femoral vein access, compared to other CVCs accesses. The most common microorganisms responsible were Staphylococus epidermidis, while the 2019 had the highest incidence of infection.
本研究旨在评估 2017 年 1 月至 2019 年 12 月期间，中心静脉临时导管感染的频率以及感染的微生物类型。该研究的对象为在科索沃普里什蒂纳血液透析中心接受中心临时静脉导管（CVC）治疗的血液透析患者，包括股静脉、颈内静脉和锁骨下静脉右、左。该研究共纳入 1902 例 CVC 患者作为临床样本，对照组为 642 例患者。两组患者在年龄和性别上相匹配。对所有患者和对照组患者均进行了病史、体格检查、生化和血液学实验室检查、CVC 拭子和药敏试验以及血培养等检查。采用描述性统计方法和卡方检验对接受中心临时静脉导管治疗的血液透析患者的实验室结果进行分析。基于该研究的结果，股静脉通路的感染发生率高于其他 CVC 通路。最常见的致病微生物是表皮葡萄球菌，而 2019 年感染发生率最高。
