ArticleAmerican journal of nephrology2019
Complications of Hemodialysis Catheter Bloodstream Infections: Impact of Infecting Organism.
Article in American journal of nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- A comprehensive review of infection risks and management in hemodialysis access sites.Clinical and experimental nephrology · 2026Pooled it
- Effectiveness of different antibiotic lock solutions on catheter-related infections of hemodialysis patients: a systematic review and meta-analysis.Annals of medicine · 2025Pooled it
- Catheter-related bloodstream infections in hemodialysis: microbiology, antimicrobial resistance, complications and predictors of mortality.BMC infectious diseases · 2026Article
- Microorganisms and Mortality Factors in Hospitalized Hemodialysis Patients with Catheter-Related Bloodstream Infection and Infective Endocarditis: 7 Years of Experience.Journal of clinical medicine · 2026Article
- Article
- Staphylococcal Scalded Skin Syndrome (SSSS) in a Preterm Infant: Clinical Presentation and Role of Next-Generation Sequencing in Toxin Gene Identification-A Case Report.Antibiotics (Basel, Switzerland) · 2025Article
- Article
- The epidemiology of haemodialysis catheter infections in Australia, 2016-20: a prospective cohort study.The Medical journal of Australia · 2025Article
- Antimicrobial Effect of Gentamicin/Heparin and Gentamicin/Citrate Lock Solutions onInfectious disease reports · 2025Article
- Article
- Single-center experience on catheter-related sepsis in tunneled central venous catheters in hemodialysis patients.Clinical nephrology · 2025Article
- The epidemiology and microbiology of central venous catheter related bloodstream infections among hemodialysis patients in the Philippines: a retrospective cohort study.BMC nephrology · 2024Article
- Clinical presentation and outcome of hemodialysis tunneled catheter-related bloodstream infection in older persons.European geriatric medicine · 2024Article
- Multiple Cold Abscesses of a Chest Wall with Ribs Destruction in a Hemodialysis Patient.Reports (MDPI) · 2024Article
- Catheter-Related Bloodstream Infections among patients on maintenance haemodialysis: a cross-sectional study at a tertiary hospital in Ghana.BMC infectious diseases · 2023Article
- The cost of hospitalizations for treatment of hemodialysis catheter-associated blood stream infections in children: a retrospective cohort study.Pediatric nephrology (Berlin, Germany) · 2023Article
- Performance of real-time PCR in suspected haemodialysis catheter-related bloodstream infection: a proof-of-concept study.Clinical kidney journal · 2023Article
- Tunneled catheter-related bacteremia in hemodialysis patients: incidence, risk factors and outcomes. A 14-year observational study.Journal of nephrology · 2023Observational
- Incidence and challenges in management of hemodialysis catheter-related infections.Scientific reports · 2022Article
- Optimising Access Surgery in Senior Haemodialysis Patients (OASIS): study protocol for a multicentre randomised controlled trial.BMJ open · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundCatheter-related bloodstream infections -(CRBSI) are associated with a high burden of morbidity and mortality, but the impact of infecting organism on clinical outcomes has been poorly studied.
methodsThis retrospective analysis of a prospective vascular access database from a large academic dialysis center investigated whether the organism type affected the clinical presentation or complications of CRBSI.
resultsAmong 339 patients with suspected CRBSI, an alternate source of infection was identified in 50 (15%). Of 289 patients with CRBSI, 249 grew a single organism and 40 were polymicrobial. Fever and/or rigors were presenting signs in ≥90% of patients with Staphylococcus aureus or Gram-negative CRBSI, but only 61% of Staphylococcus epidermidis infections (p < 0.001). Hospitalization occurred in 67% of patients with S. aureus CRBSI versus 34% of those with S. epidermidis and 40% of those with a Gram-negative bacteria (p < 0.001). Admission to the intensive care unit was required in 14, 9, and 2% (p = 0.06); metastatic infection occurred in 10, 4, and 4% (p = 0.42); and median length of stay among patients admitted to the hospital was 4, 4, and 5.5 days (p = 0.60), respectively. Death due to CRBSI occurred in only 1% of patients with CRBSI.
conclusionCRBSI is confirmed in 85% of catheter-dependent hemodialysis patients in whom it is suspected. S. epidermidis CRBSI tends to present with atypical symptoms. S. aureus CRBSI is more likely to require hospitalization or intensive care admission. Metastatic infection is relatively uncommon, and death due to CRBSI is rare.
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