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2017 ; 7
(1
): 249
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Surveillance of Dialysis Events: one-year experience at 33 outpatient
hemodialysis centers in China
#MMPMID28325945
Zhang H
; Li L
; Jia H
; Liu Y
; Wen J
; Wu A
; Lu Q
; Hou T
; Yang Y
; Yang H
; Li W
; Zong Z
Sci Rep
2017[Mar]; 7
(1
): 249
PMID28325945
show ga
A multicenter prospective surveillance on dialysis events was carried in 33
dialysis centers in China. Maintenance hemodialysis (HD) outpatients who were
dialyzed on the first two days of each month during 2014 were monitored for
dialysis events and other infections. During the one-year period, 52,680
patient-months were monitored. Fistula and tunneled or non-tunneled central line
were used for 73.70%, 15.70% and 8.85% of vascular access, respectively. There
were 773 dialysis events occurred in 671 patients including 589 IV antimicrobial
starts, 74 positive blood cultures and 110 local access site infections (LASI).
The incidence of dialysis events was 1.47 per 100 patient-months. Among the 74
cases with bloodstream infection (BSI), 38 were access-related BSI (ARB) and
there were therefore 148 cases with vascular-related infection (VAI; 38 ARB and
110 LASI). There were 740 cases (1.40 per 100 patient-months) with infections
other than BSI and LASI, most (79.19%) of which were respiratory tract
infections. For those with dialysis events, there were 425 cases (425/671,
63.34%) admitted to hospital and 12 cases of death (12/671, 1.79%). In
conclusion, the surveillance revealed a relatively low incidence of dialysis
events and the surveillance may be tailored to target those using central lines
in resource-limited settings.