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Bloodstream Infection of Double Lumen Catheter among Hemodialysis Patient

AA.Gde Agung Anom Arie Wiradana, I Gusti Agung Bagus Krisna Wibawa, Ida Bagus Budiarta

Background: Infection is one of complication of vascular access that can lead a higher morbidity, loss of access, and even mortality. Hospitalized hemodialysis patients with double lumen catheter (DLC) have a two to three higher risk for infection and death compared to patients with arteriovenous graft. The aim of this study was to determine the infection rate in dialysis double lumen catheter and its characteristic.

Method: A retrospective study was conducted in Sanglah General Hospital. Inclusion criteria was patients aged ≥18 years old who required DLC for hemodialysis access during April 2017 to March 2018. Exclusion criteria were patients without blood culture result and incomplete medical report. Data presented in a demographic data, including microbial pattern of bloodstream culture.

Result: Among 42 patients who was diagnosed with bacteremia (41.2%), 57% were male, and mostly using non-tunneled DLC. Coagulase-negative Staphylococci (23.8%) was the commonest pathogen of infected DLC, followed by Staphylococcus aureus (9.5%) and Staphylococcus epidermidis (7.1%). Pseudomonas aeruginosa and Acinetobacter baumanni, and nosocomial pathogen was counted for 4,8 %.

Conclusion: Infection rate in DLC among hemodialysis patients of Sanglah General Hospital was 28.6% with the most common etiology was Coagulase-negative Staphylococci (23.8%).

Keywords: LMWH, cancer, venous thromboembolism, enoxaparin, tinzaparin

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