Korean J healthc assoc Infect Control Prev 2023; 28(1): 36-41
Published online June 30, 2023 https://doi.org/10.14192/kjicp.2023.28.1.36
Copyright © Korean Society for Healthcare-associated infection Control and Prevention
Division of Nephrology, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
Correspondence to: Yu-Ji Lee
E-mail: basara1000@naver.com
ORCID: https://orcid.org/0000-0002-9806-8219
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0).
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.
Keywords: Catheter-related infection, Hemodialysis, Management, Prevention
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