Dialysis: dementia and prior catheter dysfunction are under-identified risk factors for catheter-related bloodstream infection | NKF

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Takeaway

  • Dementia and prior catheter dysfunction are under-identified and under-documented risk factors for catheter-related bloodstream infection (CABSI). 

Why this matters

  • Patients with dementia may have higher rates of CABSI because of lack of proper care and hygiene technique.
  • Improved identification may lead to earlier intervention. 

Key results

  • A total of 10 patients were diagnosed with dementia; the proportion of dementia was 14.29%.
  • This was significantly higher than the general prevalence rate of 4% found in a cohort study of 16,694 patients (P=.0001).
  • There were 53 patients who had catheter replacement/exchange because of catheter thrombosis; the average number of replacement/exchange was 2.57 per patient.
  • The catheter thrombosis rate of 75.7% was significantly higher tha...