COMPARISION OF FREQUENCY OF INFECTION BETWEEN INTERNAL JUGULAR AND FEMORAL VEIN DOUBLE LUMEN HEMODIALYSIS CATHETER IN CHRONIC KIDNEY DISEASE (CKD) PATIENTS

Saif Ullah Khan; Muhammad Amir; Ali Javed; Shazia Nisar; Shazia Nisar; Malik Nadeem Azam Khan; Muhammad Arsalan Javed

doi:10.51253/pafmj.v71i3.5200

Authors

Saif Ullah Khan Combined Military Hospital Nowshera/National University of Medical Sciences (NUMS) Pakistan
Muhammad Amir Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
Ali Javed Combined Military Hospital Nowshera/National University of Medical Sciences (NUMS) Pakistan
Shazia Nisar Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Shazia Nisar Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Malik Nadeem Azam Khan Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Muhammad Arsalan Javed Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i3.5200

Keywords:

Catheter related blood stream infection, Chronic kidney disease, Femoral vein double lumen haemodialysis catheter, Internal jugular catheter

Abstract

Objective: To compare the frequency of infection between internal jugular and femoral vein double lumen haemodialysis catheter in chronic kidney disease (CKD) patients.

Study Design: Comparative prospective study. Place and Duration of Study: Department of Medicine, Combined Military Hospital, Peshawar, from Jan to Jun 2018.

Methodology: A total of 400 patients (200 patients in each group) were included in this study. After insertion of catheter the patients were divided into 2 groups, group-A (jugular) and group-B (femoral) by lottery method and followed for development of catheter related blood stream infection (CRBI) within two weeks after its insertion.

Results: Mean age of the patients was 51.68 ± 13.29 and 50.89 ± 14.31 years in group-a and b, respectively. In group-A 193 (96.5%) and in group-B 196 (98%) patients presented with chronic kidney disease duration of <4 years, in group-A 7 (3.5%) and in group-B 4 (2%) patients presented with chronic kidney disease duration of >5 years. In both groups, 65 (32.5%) were diabetic. Catheter related blood stream infection (CRBSI) was found in 13 (6.5%) and 8 (14%) in group-A & B, respectively.

Conclusion: Infection frequently complicates double lumen catheters used for haemodialysis and infections are more frequent in patients with femoral vein catheter as compared to internal jugular vein.