An study of the catheter related infections in hemodialysis patients with temporary central vein catheter

Objective To analyze the catheter related infections in hemodialysis patients with temporary central vein catheter and search for the better control methods.Methods 104 patients with new hemodialysis catheters were enrolled into the study.1.The infection rate of cases of different parts catheter involved were comparative analyzed: femoral vein,internal jugular and subclavian vein.2.The infection rate of cases of same parts catheter involved were compared: 80 patients with temporary central vein catheter in internal jugular or subclavian vein were assigned to receive either traditional solution(37 cases at early stage) or antibiotics combined multiway solution(the later 43 cases).Data comparison of the catheter related infection incidence was performed between the two groups.Results 1.In the 61 cases of central vein catheter dealt with traditional solution,total infection incidence was 19.6%(12 cases).The rate of the femoral vein catheter infection(29.2%) was significantly higher than that of the internal jugular or subclavian vein(13.5%),(P0.05).2.The main bacteria related were observed as staphylococcus and E.coli.3.Infection incidence in the traditional group and antibiotics combined multiway solution group were 13.5% and 2.3% respectively,the difference had statistical significance(P0.05).Conclusion The femoral vein is not a good way to a hemodialysis patient who need a central vein catheter.The antibiotics combined multiway solution could be beneficial in control the infection incidence.Longer period the antibiotics applied to the patients with central vein catheter could decrease the chances of re-operations.