Clinical consequences of infected arteriovenous grafts in hemodialysis patients

Clinical consequences of infected arteriovenous grafts in hemodialysis patients
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DOI:
10.1053/ajkd.2001.28583
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发表时间:
2001-11-01
影响因子:
13.2
通讯作者:
Allon, M
Allon, M
中科院分区:
医学1区
文献类型:
--
作者:
Minga, TE;Flanagan, KH;Allon, M

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动静脉移植物感染是血液透析患者的严重不良事件,然而,很少有已发表的文献描述其后果。我们前瞻性地确定了我们机构在4.5年期间发生的所有移植物感染。我们分析了即刻并发症和长期后果,包括后续血管通路操作的必要性和导管非依赖性透析治疗的持续时间。在78名患者中发现了90例移植物感染,感染率为8.2/100移植物年。移植物感染患者的血清白蛋白水平较低(
Arteriovenous (AV) graft infection is a serious adverse event in hemodialysis patients; however, there is little published literature describing its consequences. We identified prospectively all AV graft infections occurring at our institution during a 4.5-year period. We analyzed immediate complications, as well as long-term consequences, including the need for subsequent vascular-access procedures and duration of catheter-de pendent dialysis therapy. Ninety graft infections were identified in 78 patients, yielding a rate of 8.2 infections/100 graft-years. Patients with graft infection were much more likely to have a low serum albumin level (