Evidence map›Paper›PMID 36446808›Full record

ArticleScientific reports2022

Incidence and challenges in management of hemodialysis catheter-related infections.

Meriam Hajji, Manel Neji, Sahar Agrebi, Saoussen Ben Nessira, Fethi Ben Hamida, Samia Barbouch, Amel Harzallah, Ezzedine Abderrahim

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Leadless Pacing and Dialysis Patients: A Match Made in Heaven.Journal of cardiovascular electrophysiology · 2026
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  17. Clinical Outcome of Patients withPathogens (Basel, Switzerland) · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Meriam HajjiDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie. meriam.hajjiwm@hotmail.fr.
Manel NejiDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie.
Sahar AgrebiDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie.
Saoussen Ben NessiraDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie.
Fethi Ben HamidaDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie.
Samia BarbouchDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie.
Amel HarzallahDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie.
Ezzedine AbderrahimDepartment of Internal Medicine "A", Charles Nicolle Hospital, Beb Saadoun, 1009, Tunis, Tunisie.
Faculté de médecine de TunisTunis University · TNHôpital Charles-Nicolle · TNTunis El Manar University · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Catheter-related infections (CRI) are a major cause of morbidity and mortality in chronic hemodialysis (HD) patients. In this paper, we share our experience with CRI in HD patients. We recorded 49 cases of CRI among 167 patients during a period of 40 months (January 2018-April 2021). The incidence of CRI was 3.7 per 1000 catheter-days. The revealing symptoms were dominated by fever or chills (90%). Inflammatory signs were observed in 74% of cases with respectively concurrent exit-site (51%) and tunnel infection (6%). The biological inflammatory syndrome was found in 74% of patients (average CRP level = 198.9 mg/l). Blood cultures were performed in all cases and were positive in 65% of cases. Thirteen patients have been diagnosed with Infection complications, which were respectively infective endocarditis in 7 cases, septic arthritis in 3 cases, infective myositis in one case, cerebral thrombophlebitis in 1 case and mediastinitis in 1 case. The death occurred in eleven patients, it was due to septic shock in 9 cases, pulmonary embolism in one case and neurologic alterations related to cerebral thrombophlebitis. The mean seniority in HD was 16.5 months in the group with CRI and 3.7 months in the group without CRI (p < 0.04). We did not notice significant difference in mortality between tunnelled and non-tunnelled catheters. CRI does not seem to be more severe in patients with diabetes. Duration of use of the HD catheter (p < 0.007) and ferritin level (p < 0.0001) were independent factors that predispose to CRI in our population.

Indexed as

Catheter-Related InfectionsThrombophlebitisCathetersHumansIncidenceRenal Dialysis

Identifiers

PMID36446808
PMCPMC9709051
OpenAlexW4310241411

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.