Korean J healthc assoc Infect Control Prev.  2023 Jun;28(1):36-41. 10.14192/kjicp.2023.28.1.36.

Hemodialysis Catheter-associated Infections: From Prevention to Treatment

• Lee YJ

• KMID: 2543133
• DOI: http://doi.org/10.14192/kjicp.2023.28.1.36

Abstract

Central venous catheter-related infection is associated with increased morbidity and mortality among patients undergoing hemodialysis. This review summarizes the management and prevention of hemodialysis catheter-related infections with reference to the previous guidelines. The management of these infections involves appropriate cultures, empiric antibiotic treatment, a change in antibiotics according to culture sensitivities, and decisions on catheter removal. Prevention of these infections includes the location of catheter placement, type of catheter, monitoring/surveillance of catheter complications, care of exit site, and selective use of prophylactic locking with antibiotic, antimicrobial, or thrombolytic agents in patients at high risk of catheter-related bloodstream infections.

Keyword

Catheter-related infection; Hemodialysis; Management; Prevention

Figure

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  Fig. 1 Algorithm for management of CVC-related bloodstream infection. Abbreviation: CVC, central venous catheter.

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