ArticleAnnals of Saudi medicine
Bloodstream infection at hemodialysis facilities in Jeddah: a medical record review.
Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Clinical Characteristics and Microbiology of Bloodstream Infections in Hemodialysis-Dependent Patients: A Multicenter Retrospective Study from Five Hemodialysis Centers in Saudi Arabia.Avicenna journal of medicine · 2026Article
- Diagnostic and Therapeutic Particularities of Sepsis in Hemodialysis Patients.Life (Basel, Switzerland) · 2025Review
- Bacteremia in the Gulf Cooperation Council Region: A Review of the Literature 2013-2023.Infection and drug resistance · 2025Review
- Incidence of and Risk Factors for Central Venous Catheter Thrombosis: Results from a Single-Center Pediatric Intensive Care Unit.Children (Basel, Switzerland) · 2024Article
- The epidemiology and microbiology of central venous catheter related bloodstream infections among hemodialysis patients in the Philippines: a retrospective cohort study.BMC nephrology · 2024Article
- Article
- Economic evaluation of dialysis and comprehensive conservative care for chronic kidney disease using the ICECAP-O and EQ-5D-5L; a comparison of evaluation instruments.Cost effectiveness and resource allocation : C/E · 2023Article
- Predictive factors of infection in patients with chronic kidney disease using hemodialysis catheters.Jornal vascular brasileiro · 2023Article
- Catheter-Related Blood Stream Infections and Associated Factors Among Hemodialysis Patients in a Tertiary Care Hospital.Infection and drug resistance · 2023Article
- Patterns of microbial resistance in bloodstream infections of hemodialysis patients: a cross-sectional study from Palestine.Scientific reports · 2022Article
- Observational
- Microbial Repercussion on Hemodialysis Catheter-Related Bloodstream Infection Outcome: A 2-Year Retrospective Study.Infection and drug resistance · 2021Article
Corrections and comments
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Authors and funding
4 authors.
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Abstract
backgroundBloodstream infections (BSI) are a major complication of hemodialysis. The risk of infection among hemodialysis patients is usually associated with the dialysis procedure itself, specifically the means of vascular access.
objectivesEstimate the rate of BSI and assess factors possibly associated with BSI.
designAnalytical retrospective medical record review.
settingHemodialysis unit in a tertiary care center. PATIENTS AND
methodsAdult patients (18-60 years old) who had hemodialysis as first renal replacement therapy in the 20-month period from January 2014 to August 2016 were included in this study. Demographic and clinical characteristics were used in a multivariate logistic regression to assess factors that might be associated with BSI.
main outcome measuresThe rate of BSI and associated factors among chronic hemodialysis outpatients. SAMPLE SIZE AND CHARACTERISTICS: 160 outpatients on hemodialysis, median (IQR) age 47.7 (37.0-56.0) years, males (60.6%).
resultsThe rate of BSI was 0.4 per 100 patient-months. Multivariate logistic regression revealed that patients who had central venous catheters had the highest risk for BSI (odds ratio: 10.088; 95% CI= 2.595-39.215; P=.001) compared with arteriovenous fistulas. Gram-negative bacteria were isolated in 54.6% of cases, with coagulase-negative Staphylococcus the most frequent isolate (18.2%), followed by Klebsiella pneumoniae and Enterobacteriaceae (15.2%, each).
conclusionsThe type of vascular access type is the main risk factor associated with BSI in hemodialysis patients. The arteriovenous fistula, which has a lower infection rate compared to the catheter, is the best available option for hemodialysis patients. LIMITATIONS: Retrospective, single center and relatively small sample size. CONFLICT OF INTEREST: None.
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