Catheter-Related Bacteremia in Patients Undergoing Hemodialysis
Authors: Josep A. Capdevila
Journal: Annals of Internal Medicine (1998)

Letters1 April 1998Catheter-Related Bacteremia in Patients Undergoing HemodialysisJosep A. Capdevila, MD, Alfons Segarra, MD, and Albert Pahissa, MDJosep A. Capdevila, MDHospital Vall d'Hebron; 08035 Barcelona, SpainSearch for more papers by this author, Alfons Segarra, MDHospital Vall d'Hebron; 08035 Barcelona, SpainSearch for more papers by this author, and Albert Pahissa, MDHospital Vall d'Hebron; 08035 Barcelona, SpainSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-7-199804010-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In the article on the advisability of maintaining an infected catheter in patients who are undergoing hemodialysis and have catheter-related bacteremia [1], Marr and colleagues report that only 12 catheters (19%) in 62 episodes of bacteremia were salvaged successfully. This contrasts with our experience, previously published [2] and later re-evaluated [3], showing high success rates in treating catheter-related bacteremia without catheter removal. During a 41-month period, 37 of 185 patients with a central venous catheter implanted for hemodialysis had a total of 42 episodes of catheter-related bacteremia. This represents 1.3 episodes per 1000 days of catheterization. According ...References1. Marr KA, Sexton DJ, Conlon PJ, Corey GR, Schwab SJ, Kirkland KB. Catheter-related bacteremia and outcome of attempted catheter salvage in patients undergoing hemodialysis. Ann Intern Med. 1997; 127:275-80. Google Scholar2. Capdevila JA, Segarra A, Planes AM, Ramirez-Arellano M, Pahissa A, Piera L, et al. Successful treatment of haemodialysis catheter-related sepsis without catheter removal. Nephrol Dial Transplant. 1993; 8:231-4. Google Scholar3. Capdevila JA, Segarra A, Planes AM, Gasser I, Gavalda J, Pahissa A. Long term follow-up of patients with catheter related sepsis (CRS) treated without catheter removal [Abstract]. In: Program and Abstracts of the 35th Interscience Conference on Antimicrobial Agents and Chemotherapy, San Francisco. Washington, DC: American Society for Microbiology: 1995. Google Scholar4. Capdevila JA, Planes AM, Palomar M, Gasser I, Almirante B, Pahissa A, et al. Usefulness of quantitative blood culture for diagnosis of catheter related sepsis. Eur J Clin Microbiol. 1992; 11:403-7. Google Scholar Author, Article, and Disclosure InformationAffiliations: Hospital Vall d'Hebron; 08035 Barcelona, Spain PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byGuidelines for the prevention of intravascular catheter-related infectionsSummary of Recommendations: Guidelines for the Prevention of Intravascular Catheter-related InfectionsIntra-Catheter Leukocyte Culture to Monitor Hemodialysis Catheter Colonization. a Prospective Study to Prevent Catheter-Related Bloodstream InfectionsEpidemiology of hemodialysis vascular access infections from longitudinal infection surveillance data: Predicting the impact of NKF-DOQI clinical practice guidelines for vascular access 1 April 1998Volume 128, Issue 7Page: 600KeywordsAntibioticsAttentionBacteremiaBloodCatheterizationCathetersRenal failure ePublished: 15 August 2000 Issue Published: 1 April 1998 Copyright & PermissionsCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...