NHIỄM KHUẨN LIÊN QUAN CATHETER TĨNH MẠCH ĐÙI Ở BỆNH NHÂN GIAI ĐOẠN CUỐI BỆNH THẬN MẠN

Abstract

Femoral venous catheter-related infection is a major complication that limits the duration of catheter use and increases mortality and morbidity in hemodialysis patients via femoral venous catheter. The study was conducted at Nghe An Frienship General Hospital from January 2021 to May 2021 with aims of describing clinical and subclinical characteristics and investigating factors related to femoral venous catheter-related infections in patients with end-stage renal disease on hemodialysis. In 35 patients, the rate of catheter-related bloodstream infection was 91.4%; the rate of exit-site catheter infection was 25.7%; in exit-site catheter infection, local symptoms include 88.9% had swelling; 66.7% had red; 33.3% had pain; 33.3% had purulence; systemic symptoms include 100% had fever;  46.9% had chills; 12.5% had dyspnea, 0% had consciousness disorder; the most common pathogens are Staphylococcus aureus 81.8% (blood) and 50.0% (catheter). There was a relationship between femoral venous catheter-related infection and blood albumin levels with p < 0.05. The study will contribute to improving the efficiency in disease diagnosis and reducing the rate of femoral venous catheter-related infection.