Longevity and infection free survival of permicath

Abstract

Abstract Background A hemodialysis catheter is a small biocompatible tube made of soft flexible material. It is inserted into a patient’s target vein to provide vascular access for hemodialysis. As important as catheter placing and handling guide-lines to prevent infection reporting standards are equally important, as they are the tools to enable us to evaluate our work attitudes, how much are we sticking to the guide-lines, how are we managing our resources, and are we aware of the resources we have or not. Aim of the Work to figure the outcome and infection rate related to tunneled-cuffed catheters in patients with ESRD needing dialysis who were submitted to tunneled cuffed catheter placement during the period from May 2017 to April 2018. Patients and Methods This retrospective descriptive study was conducted in 35 TTCs patients in the Vascular Surgery department ASU Hospital. Target population included patients of ESRD who were submitted for tunneled cuffed dialysis catheter placement in the Vascular Surgery department ASU Hospital in the period from May 2017 to April 2018. Results A total of 35 TCCs were inserted in end-stage renal disease patients for hemodialysis. Total number of catheter days was 6343 days. The primary unassisted patency rates at 6 months and 1 year were 51.4% and 11.4% respectively. Of the 35 cases 19 (54.28% of the total population) reported infection episode. 5 (26.3% of the infected population) TCCs were removed due to a severe episode of BSI, of the removed TCCs 2 (10.5% of the infected population) were died. The TCC bacteraemia rate was 2.186 per 1000 catheter days. The total number of the removed TCCs was 14 (40% of the total population). The reasons for removal were non-patency, infection, and completion of therapy with percentage of 22, 8%, 14.3%, and 2, 9% respectively. Conclusion Tunnelled cuffed haemodialysis catheters are vital line of treatment in patients requiring long term haemodialysis especially elderly population with weak vasculature or consumed peripheral accesses in which it is considered an access of choice.