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

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.

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Published

30-06-2021

Issue

Section

Original Articles

How to Cite

1.
Khan SU, Amir M, Javed A, Nisar S, Nisar S, Khan MNA, et al. COMPARISION OF FREQUENCY OF INFECTION BETWEEN INTERNAL JUGULAR AND FEMORAL VEIN DOUBLE LUMEN HEMODIALYSIS CATHETER IN CHRONIC KIDNEY DISEASE (CKD) PATIENTS. Pak Armed Forces Med J [Internet]. 2021 Jun. 30 [cited 2024 Jul. 19];71(3):993-95. Available from: https://pafmj.org/PAFMJ/article/view/5200