ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ NHIỄM KHUẨN LIÊN QUAN CATHETER TĨNH MẠCH ĐÙI Ở BỆNH NHÂN BỆNH THẬN MẠN LỌC MÁU CẤP CỨU BẰNG THẬN NHÂN TẠO

Abstract

Background: Hemodialysis catheter related infection is common in chronic kidney disease patients with acute hemodialysis, causes many complications and increases mortality. Objectives: (1). To discribe clinical, subclinical characteristics and risk factors of femoral catheter related infection in chronic kidney disease patients with acute hemodialysis. (2). To evaluate treatment results of femoral catheter related infection in chronic kidney disease patients with acute hemodialysis. Materials and methods: A prospective, cross-sectional discriptive study with the participation of 49 chronic kidney disease patients with acute hemodialysis, who are disgnosed with femoral catheter related infection hemodialysis at Can Tho Central General Hospital from 2/1019 to 7/2020. Results: Clinical manifestations included 85.7% of fever; 81.6% pus; 69.4% inflammation and 61.2% pain at catheter exit site; 2.0% shock. Subclinal features included 42.9% increased white blood cell count; catheter tip and blood culture were possitive in 80.0% and 88.0% S. aureus. Risk factors rates were 91.8% of anemia (Hb<9.5 g/dl); 71.4% duration of catheter ≥10 days; 24.5% diabetes; 6.1% immunosuppression. 93.9% of patients responsed well to empiric treatments. The mortality was 2.0%. Conclusion: Fever was the most common symptom. White blood cell count increases in 42.9% cases. Anemia (Hb<9.5 g/dl) was the most common risk factor. The most common pathogenic organisms was S. aureus. 93.9% of patients responsed well to empiric treatments. The mortality was 2.0%.