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KMID : 1141420230280010036
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Korean Journal of Healthcare-associated Infection Control Prevention
2023 Volume.28 No. 1 p.36 ~ p.41
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Hemodialysis Catheter-associated Infections: From Prevention to Treatment
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Lee Yu-Ji
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Abstract
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Central venous catheter-related infection is associated with increased morbidity and mortality among patients undergoing hemodialysis. This review summarizes the management and prevention of hemodialysis catheter-related infections with reference to the previous guidelines. The management of these infections involves appropriate cultures, empiric antibiotic treatment, a change in antibiotics according to culture sensitivities, and decisions on catheter removal. Prevention of these infections includes the location of catheter placement, type of catheter, monitoring/surveillance of catheter complications, care of exit site, and selective use of prophylactic locking with antibiotic, antimicrobial, or thrombolytic agents in patients at high risk of catheter-related bloodstream infections.
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KEYWORD
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Catheter-related infection, Hemodialysis, Management, Prevention
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