PMID: 619755Jan 1, 1978Paper

Septicemia in patients on chronic hemodialysis

Annals of Internal Medicine
J F DobkinN H Steigbigel

Abstract

Bacterial sepsis, a major complication of chronic hemodialysis, is due mainly to infections of the vascular access site despite increasing use of internal fistulas. Sixty episodes of septicemia occurred in two chronic dialysis centers, with an incidence of 0.15 episodes of significant bacteremia per patient-dialysis-year in each. Forty-four of the 60 episodes were judged to be due to vascular access site infection by clinical, bacteriologic, and histologic criteria. Seventy percent (31 of 44) of the vascular access site-related episodes were due to staphylococci and 25% (11 of 44) to Gram-negative bacilli; nonvascular access site-related episodes were often due to transplant site infections caused by Gram-negative bacilli or streptococci. Mortality was about 18% in both vascular access site-related and nonrelated septic episodes. Bovine heterograft arteriovenous fistulas more often led to sepsis than did Brescia arteriovenous fistulas. Treatment with appropriate antibiotics was successful in most cases. Routine removal or ligation of the vascular access site was not necessary.

Citations

Jan 1, 1988·Intensive Care Medicine·M L PlitJ Gavaudan
Jul 1, 1994·Annals of Hematology·P ZachéeM A Boogaerts
May 1, 1982·Irish Journal of Medical Science·C J CroninW F O'Dwyer
Dec 3, 2011·International Orthopaedics·Ana Maria CervanEnrique Guerado
Sep 17, 2008·International Urology and Nephrology·Nikolaos BessiasVassilios Andrikopoulos
Nov 13, 2004·Current Infectious Disease Reports·Philip M Polgreen, L A Herwaldt
Apr 16, 1999·The Journal of Hospital Infection·S J PeacockP Maxwell
Sep 26, 2001·Infectious Disease Clinics of North America·S J Berman
Sep 26, 2001·Infectious Disease Clinics of North America·A H Cheung, L M Wong
Feb 23, 1999·Kidney International·N R PoweW Briggs
Jun 26, 2001·Kidney International·G M Nassar, J C Ayus
Mar 11, 2004·Seminars in Vascular Surgery·Sean V RyanMatthew J Dougherty
Jun 14, 2000·The Laryngoscope·Y H Goh, R L Goode
Sep 20, 2006·International Journal of Clinical Practice·N DuranA F Eskiocak
Nov 1, 1979·Antimicrobial Agents and Chemotherapy·T W Lane, E Abrutyn
Nov 27, 1982·British Medical Journal·P M Higgins
Jan 28, 1984·British Medical Journal·W R GransdenI Phillips
Apr 17, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·L A MermelSociety for Healthcare Epidemiology of America
Sep 26, 2008·Néphrologie & thérapeutique·Louis AyzacMarc Uzan
Oct 29, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jay L XueAllan J Collins
Jan 1, 1982·Clinical and Experimental Dialysis and Apheresis·C Charytan, B S Spinowitz
Sep 1, 1990·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·A H MossD E McDowell
Sep 1, 1982·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·S E GoldblumW P Reed
Jan 1, 1982·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·W D MatternM S Laffell
Mar 1, 1983·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·S E GoldblumP S Avasthi
Feb 1, 1985·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·B A FivushE J Ruley
Dec 1, 1985·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·L D QuarlesS G Rostand
Dec 1, 1980·Kidney International
Oct 20, 1998·The Journal of Hospital Infection·L A Herwaldt
Sep 1, 1989·Blood Reviews·G J Schiller, S A Berkman
Oct 1, 1979·The American Journal of Medicine·L J WheatA White
Jun 1, 1979·Disease-a-month : DM·A S Bayer, L B Guze
Jul 1, 1979·Oral Surgery, Oral Medicine, and Oral Pathology·M H Chow, D S Peterson
Feb 1, 1996·The Journal of the American Dental Association·S S De Rossi, M Glick
May 1, 1993·American Journal of Surgery·B TaylorK J May
May 31, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L A MermelSociety for Healthcare Epidemiology of America

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