scholarly journals Early-Cannulation Arteriovenous Grafts Are Safe and Effective in Avoiding Recurrent Tunneled Central Catheter Infection

2021 ◽  
Author(s):  
S. Richarz ◽  
K. Stevenson ◽  
B. White ◽  
P.C. Thomson ◽  
A. Jackson ◽  
...  
Keyword(s):  
Central Catheter ◽  
Catheter Infection ◽  
Arteriovenous Grafts

scholarly journals Early-cannulation arteriovenous grafts are safe and effective in avoiding recurrent tunneled central catheter infection

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
S Richarz ◽  
K Stevenson ◽  
B White ◽  
P Thomson ◽  
A Jackson ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Infectious Complications ◽  
Central Catheter ◽  
Patient Demographics ◽  
Catheter Infection ◽  
Time Period ◽  
Retrospective Comparison ◽  
Arteriovenous Grafts ◽  
One Year ◽  
Central Venous Catheter Infection

Abstract Objective Tunneled central venous catheter infection (TCVCi) is a common complication that often necessitates removal of the TCVC and a further TCVC. Theoeretically, insertion of an early-cannualtion graft (ecAVG) early after TCVC infection is possible but not widely practiced with concerns over safety and infection in the ecAVG. With 8 years of ecAVG experience, the aim of this study was to compare the outcomes following TCVC infection, comparing replacement with TCVC (TCVCr) versus immediate ecAVG (ecAVGr). Methods Retrospective comparison of two cohorts, who underwent replacement of an infected TCVC either by an early cannulation graft (n = 18) or by a further central catheter (n = 39). Data were abstracted from a prospectively completed electronic patient record and collected on patient demographics, TCVC insertion, duration and infection, including culture proven bacteriaemia and subsequent access interventions. Results 18/299 patients identified from 2012-2020 had an ecAVG implanted as treatment for a TCVCi. In a one-year time-period (1/1/2015 -31/12/2015) out of 222 TCVC inserted, 39 were as a replacement following a TCVCi. No patient with an ecAVGr developed an immediate infection, nor complication from the procedure. The rate of subsequent vascular access infection was significantly more frequent for those with TCVCr than with an ecAVGr (0.6 vs. 0.1/patient/ 1000 HD days, p < 0.000). The number of further TCVC required was significantly higher in the TCVCr group (7.1 vs. 0.4/patient/ 1000 HD days, p = 0.000). Conclusion An ecAVG early following a TCVC infection is safe, reduces the incidence of subsequent infectious complications and reduces the number of TCVC required, with a better functional patency.

Successful prevention of tunneled central catheter infection by antibiotic lock therapy using cefazolin and gentamicin

2012 ◽  
Vol 45 (5) ◽  
pp. 1405-1413 ◽  
Author(s):  
T. N. V. Silva ◽  
M. L. Mendes ◽  
J. M. G. Abrão ◽  
J. T. Caramori ◽  
D. Ponce
Keyword(s):  
Central Catheter ◽  
Catheter Infection ◽  
Lock Therapy ◽  
Antibiotic Lock ◽  
Successful Prevention

scholarly journals O enfermeiro e o cuidado na prevenção de infecção sanguínea relacionada ao cateter de PICC em neonatos

2014 ◽  
Vol 4 (12) ◽  
pp. 26
Author(s):  
Ana Selma Pereira dos Santos ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Quality Of Life ◽  
Length Of Stay ◽  
Bloodstream Infections ◽  
Infectious Complications ◽  
Central Catheter ◽  
Inclusion Criteria ◽  
Catheter Infection ◽  
Calidad De Vida ◽  
Safe Technique

O cateter central de inserção periférica é um procedimento indicado para o recém-nascido quando existe dificuldade para punção venosa. Trata-se de um estudo de revisão bibliográfica e qualitativa, cuja fonte foi as bases de dados da BDENF e os objetos foram artigos que atenderam aos critérios de inclusão estabelecidos. Infere-se que o profissional requer conhecimento, treinamento e habilidade para executar os cuidados com o cateter de PICC e realizar prevenção e intervenção de complicações infecciosas, assegurando uma técnica asséptica e segura observando diariamente o local da punção atentando-se a incidência de flebite para identificar as possibilidades associadas das complicações com relativas variáveis de infecção, pois ao prevenir à infecção de corrente sanguínea melhora a qualidade de vida dos neonatos, gerando menor tempo de permanência na instituição e redução dos gastos.Descritores: Enfermagem, Prevenção, Infecção de Cateter. Nurses and care in preventing bloodstream infections related to PICC catheter in newbornsAbstract: The central catheter peripherally inserted is a procedure indicated for the baby when it is difficult to venipuncture. This is a bibliographic review and qualitative, whose source was the the BDENF databases and objects were articles that met the inclusion criteria established. The professional up infers requires knowledge, training and ability to perform the care of the PICC catheter and perform prevention and intervention of infectious complications, ensuring aseptic and safe technique daily observing the location of paying attention to puncture the incidence of phlebitis to identify the possibilities of complications associated with infection related variables, as to prevent the infection of the bloodstream improves the quality of life of newborns, generating shorter length of stay in the institution and reduce spending.Descriptors: Nursing, Prevention, Catheter Infection. Enfermeras y la atención en la prevención de infecciones del torrente sangupineo relacionadas con el catéter PICC en neonatosResumen: El catéter central de inserción periférica es un procedimiento indicado para el bebé cuando es difícil punción venosa. Esta es una revisión bibliográfica y cualitativa, cuya fuente era las bases de datos y objetos BDENF eran artículos que cumplieron los criterios de inclusión establecidos. Los infiere profesionales hasta requiere conocimiento, la formación y la capacidad para llevar a cabo el cuidado del catéter PICC y llevar a cabo la prevención y la intervención de las complicaciones infecciosas, aséptica asegurar y técnica segura la observación diaria del lugar de prestar atención a la punción de la incidencia de flebitis a identificar las posibilidades de complicaciones asociadas a las variables relacionadas con la infección, como para prevenir la infección del torrente sanguíneo mejora la calidad de vida de los recién nacidos, la generación de más corta duración de la estancia en la institución y reducir el gasto.Descriptores: Enfermería, Prevención, Infección del Catéter. 

scholarly journals O enfermeiro e o cuidado na prevenção de infecção sanguínea relacionada ao cateter de PICC em neonatos

2014 ◽  
pp. 26
Author(s):  
Ana Selma Pereira dos Santos ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Quality Of Life ◽  
Length Of Stay ◽  
Bloodstream Infections ◽  
Infectious Complications ◽  
Central Catheter ◽  
Inclusion Criteria ◽  
Catheter Infection ◽  
Calidad De Vida ◽  
Safe Technique

O cateter central de inserção periférica é um procedimento indicado para o recém-nascido quando existe dificuldade para punção venosa. Trata-se de um estudo de revisão bibliográfica e qualitativa, cuja fonte foi as bases de dados da BDENF e os objetos foram artigos que atenderam aos critérios de inclusão estabelecidos. Infere-se que o profissional requer conhecimento, treinamento e habilidade para executar os cuidados com o cateter de PICC e realizar prevenção e intervenção de complicações infecciosas, assegurando uma técnica asséptica e segura observando diariamente o local da punção atentando-se a incidência de flebite para identificar as possibilidades associadas das complicações com relativas variáveis de infecção, pois ao prevenir à infecção de corrente sanguínea melhora a qualidade de vida dos neonatos, gerando menor tempo de permanência na instituição e redução dos gastos.Descritores: Enfermagem, Prevenção, Infecção de Cateter. Nurses and care in preventing bloodstream infections related to PICC catheter in newbornsAbstract: The central catheter peripherally inserted is a procedure indicated for the baby when it is difficult to venipuncture. This is a bibliographic review and qualitative, whose source was the the BDENF databases and objects were articles that met the inclusion criteria established. The professional up infers requires knowledge, training and ability to perform the care of the PICC catheter and perform prevention and intervention of infectious complications, ensuring aseptic and safe technique daily observing the location of paying attention to puncture the incidence of phlebitis to identify the possibilities of complications associated with infection related variables, as to prevent the infection of the bloodstream improves the quality of life of newborns, generating shorter length of stay in the institution and reduce spending.Descriptors: Nursing, Prevention, Catheter Infection. Enfermeras y la atención en la prevención de infecciones del torrente sangupineo relacionadas con el catéter PICC en neonatosResumen: El catéter central de inserción periférica es un procedimiento indicado para el bebé cuando es difícil punción venosa. Esta es una revisión bibliográfica y cualitativa, cuya fuente era las bases de datos y objetos BDENF eran artículos que cumplieron los criterios de inclusión establecidos. Los infiere profesionales hasta requiere conocimiento, la formación y la capacidad para llevar a cabo el cuidado del catéter PICC y llevar a cabo la prevención y la intervención de las complicaciones infecciosas, aséptica asegurar y técnica segura la observación diaria del lugar de prestar atención a la punción de la incidencia de flebitis a identificar las posibilidades de complicaciones asociadas a las variables relacionadas con la infección, como para prevenir la infección del torrente sanguíneo mejora la calidad de vida de los recién nacidos, la generación de más corta duración de la estancia en la institución y reducir el gasto.Descriptores: Enfermería, Prevención, Infección del Catéter. 

Endovascular stent-graft treatment for graft-vein anastomotic stenosis in haemodialysis patients with arteriovenous grafts

VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 466-472 ◽  
Author(s):  
Chia-Hsun Lin ◽  
Yen-Yang Chen ◽  
Chai-Hock Chua ◽  
Ming-Jen Lu
Keyword(s):  
Risk Factors ◽  
Stent Graft ◽  
Target Lesion ◽  
Primary Patency ◽  
Anastomotic Stenosis ◽  
Secondary Patency ◽  
Endovascular Stent ◽  
Stent Grafts ◽  
Venous Anastomosis ◽  
Arteriovenous Grafts

Abstract. Background: In this study, we investigated the patency of endovascular stent grafts in haemodialysis patients with arteriovenous grafts, the modes of patency loss, and the risk factors for re-intervention. Patients and methods: Haemodialysis patients with graft-vein anastomotic stenosis of their arteriovenous grafts who were treated with endovascular stent-grafts between 2008 and 2013 were entered into this retrospective study. Primary and secondary patency, modes of patency loss, and risk factors for intervention were recorded. Results: Cumulative circuit primary patency rates decreased from 40.0 % at 6 months to 7.3 % at 24 months. Cumulative target lesion primary patency rates decreased from 72.1 % at 6 months to 22.0 % at 24 months. Cumulative secondary patency rates decreased from 81.3 % at 12 months to 31.6 % at 36 months. Patients with a history of cerebrovascular accident had a significantly higher risk of secondary patency loss, and graft puncture site stenosis jeopardised the results of stent-graft treatment. Conclusions: Our data can help to improve outcomes in haemodialysis patients treated with stent-grafts for venous anastomosis of an arteriovenous graft.

Multidisciplinary management of vascular access for haemodialysis: from the preparation of the initial access to the treatment of stenosis and thrombosis

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 188-198 ◽  
Author(s):  
Reinhold ◽  
Haage ◽  
Hollenbeck ◽  
Mickley ◽  
Ranft
Keyword(s):  
Vascular Access ◽  
Central Venous ◽  
Advantages And Disadvantages ◽  
Multidisciplinary Study ◽  
First Results ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Access Problems ◽  
Arteriovenous Grafts ◽  
The Individual

In February 2008 a multidisciplinary study group was established in Germany to improve the treatment of patients with potential vascular access problems. As one of the first results of their work interdisciplinary recommendations for the management of vascular access were provided, from the creation of the initial access to the treatment of complications. As a rule the wrist arteriovenous fistula (AVF) is the access of choice due to its lower complication rate when compared to other types of access. The AVF should be created 3 months prior to the expected start of haemodialysis to allow for sufficient maturation. Second and third choice accesses are arteriovenous grafts (AVG) and central venous catheters (CVC). Ultrasound is a reliable tool for vessel selection before access creation, and also for the diagnosis of complications in AVF and grafts. Access stenosis and thrombosis can be treated surgically and interventionally. The comparison of both methods reveals advantages and disadvantages for each. The therapeutic decision should be based on the individual patients’ constitution, and also on the availability and experience of the involved specialists.

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