Current situation and risk factors analysis of catheter-related infection in uremic hemodialysis patients
Objective To explore the current situation and risk factors of catheter-related infection(CRI)in uremic hemodialysis patients.Methods A total of 287 patients with uremia in Zhongda Hospital,Southeast University from January 2020 to June 2023 were included.General data,clinical data,and pathogenic bacteria distribution were collected,and the risk factors of CRI in uremic hemodialysis patients were analyzed.Results The incidence of CRI in 287 uremic hemodialysis patients was 18.47％(53/287).Gram positive bacteria accounted for 62.92％of the pathogenic bacteria.There were significant differences in age,hospital stay,diabetes mellitus,catheter retention time and the levels of albumin(Alb),blood urea nitrogen,serum creatinine,C-reactive protein,white blood cell count,and hemoglobin(Hb)between two groups(P＜0.05).Age＞60 years old,hospital stay ≥4 d,diabetes mellitus,catheter retention time≥2 weeks,Alb ≤35 g/L,and Hb ≤110 g/L were risk factors for CRI in uremic hemodialysis patients(OR＞1,P＜0.05).Conclusion Age＞60 years old,hospital stay≥4 d,diabetes mellitus,catheter retention time≥2 weeks,Alb ≤35 g/L,and Hb ≤ 110 g/L were risk factors for CRI in uremic hemodialysis patients.Targeted prevention can be carried out according to these risk factors,and corresponding antibacterial treatment can be carried out according to the main pathogenic bacteria to improve the prognosis of uremic hemodialysis patients.
万方数据
维普
