Document Detail


Bacteremic infection in hemodialysis.
MedLine Citation:
PMID:  508022     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a retrospective study of 133 episodes of bacteremic infection in 112 hemodialysis patients. The frequency of bacteremic infection was 9.5% in patients with chronic renal failure and 10.9% in patients with acute renal failure. In patients with acute renal failure, pneumonia and intra-abdominal abscess were the most frequent sources of septicemia. Sepsis was usually due to Gram-negative organisms and mortality was high. In patients with chronic renal failure, infection of the shunt or fistula was the most common cause, was frequently due to Staphylococcus organism, and had a more favorable survival rate. Gram-negative septicemia from a nonaccess source in patients with chronic renal failure was associated with a higher mortality. Bacterial endocarditis and septic pulmonary emboli occurred in 3.6% of septic episodes and 0.35% of patients at risk and had very low mortality. A low threshold for obtaining blood cultures and early antibiotic treatment are believed to be important in the treatment of bacteremic infections in patients undergoing long-term hemodialysis.
Authors:
K A Nsouli; M Lazarus; S C Schoenbaum; M N Gottlieb; E G Lowrie; M Shocair
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  139     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1979 Nov 
Date Detail:
Created Date:  1980-01-28     Completed Date:  1980-01-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1255-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Bacterial Infections / drug therapy,  etiology*
Endocarditis, Bacterial / etiology
Humans
Kidney Failure, Acute / complications,  therapy
Kidney Failure, Chronic / complications,  therapy
Pulmonary Embolism / etiology
Renal Dialysis / adverse effects*
Retrospective Studies
Staphylococcal Infections / etiology
Time Factors
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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