Abstract
Q1 How common is catheter related blood stream infection (CRBSI)?
Catheter related blood stream infection (CRBSI) is the most important complication of central venous dialysis catheters. The risk of tunnelled line bacteraemia is around 1–3 episodes per 1,000 catheter days in most renal units. Tunnelled lines have lower rates of infection than temporary lines and jugular placement carries a lower risk than femoral. Bacteraemia is approximately ten times more common with lines than with fistulas and this is one of the reasons why a fistula is the preferred form of vascular access for haemodialysis. Tunnelled lines are also associated with significantly higher risks of death from infection than fistulas and grafts.
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Further Reading
Vanholder R, et al. Diagnosis, prevention and treatment of haemodialysis catheter-related bloodstream infections (CRBSI): a position statement of European Renal Best Practice (ERBP). NDT Plus. 2010;3(3):234–46.
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Findlay, M., Isles, C. (2015). Catheter Related Blood Stream Infection. In: Clinical Companion in Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-319-14868-7_42
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DOI: https://doi.org/10.1007/978-3-319-14868-7_42
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-14867-0
Online ISBN: 978-3-319-14868-7
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