The use of temporary or tunneled central venous catheters (CVC) is increasing
worldwide in hemodialysis patients, but their numerous and potentially severe
complications should be taken into account. Among the possible complications,
infections are certainly those with the greater impact on morbidity and
mortality. Catheter-related infections can affect the CVC exit site, the
subcutaneous tunnel or, in the most severe cases, can induce bacteremia and
sepsis (CRBSI, catheter-related blood stream infections). CRBSI prevention is of
the utmost importance and can be achieved through educational activities for the
dialysis personnel and through the use of specific protocols for CVC insertion
and management. Indeed, it has been demonstrated that these measures allow a
significant reduction of the number of CRBSI, to less than 1 episode per 1,000
catheter days.
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dialysis outcomes and Practice Patterns Study: hemodialysis data 1999–2008.
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