Prevention of hemodialysis catheter infections: Ointments, dressings, locks, and catheter hub devices

Research output: Contribution to journalReview article

Abstract

Tunneled central venous catheters used for the provision of hemodialysis are associated with excess morbidity and mortality. Catheter related exit site and blood stream infections are major risks of their use. Although catheter-avoidance is the best strategy to reduce infections and mortality in the hemodialysis population, the use of catheters remains unacceptably high. In this review, the existing clinical practice guidelines for the prevention of hemodialysis catheter associated infections are outlined, and a comprehensive evidenced-based summary of interventions is provided. This includes details about the use of topical antimicrobial ointments and dressings, intranasal ointment application, prophylactic use of antibiotic and non-antibiotic catheter lock solutions, and catheter hub devices for the prevention of catheter blood stream infections.

Original languageEnglish (US)
Pages (from-to)S75-S82
JournalHemodialysis International
Volume22
DOIs
StatePublished - Oct 2018

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Keywords

  • Bacteremia
  • catheter
  • hemodialysis
  • infection
  • vascular access

ASJC Scopus subject areas

  • Hematology
  • Nephrology

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