Study the Relationship between Hemodialysis (HD) Patients and Their ABO Blood Grouping as Well as Screening of Hemodialysis Access-related Bacterial Infections

Wasan A Hassoon,Jenan M Al-Safar,Alice K Melconian

doi:10.19026/crjbs.5.5431

Abstract

Aim: This study aimed to study the relationship between hemodialysis patients and ABO blood grouping as well as screening for aerobic bacterial infection. Samples of urine and blood were collected from sixty patients who were submitted to Medical City and Al-kahdemiya hospitals in Baghdad in the period between December 2011 and February 2012. The specimens (urine and blood) were cultured on BHI broth and blood culture media (respectively) and bacterial cultures which were obtained were diagnosed to genus and species using biochemical tests and APi system. Eighty percent of urine samples were positive to culturing while (50%) from the blood samples were positive to culturing. The most isolated bacteria from urine were: Staphylococcus aureus (23%) and Escherichia coli (19.8%) while from blood were S. epidermidis (32.6%) and E. coli (32.6 %). The percentage of the seroprevelence of Helicobacter pylorl was 53% of the total number of HD patients and that 60% of these patients who carried H. pylori antibodies belonged to O blood group. The results also revealed that (55, 25, 10, 10%) of the HD patients were belonging to (O, B, A and AB) respectively.

Highlights

Renal failure describes a medical condition in which the kidneys fail to filter toxins and waste products from blood adequately; dialysis including hemodialysis is a procedure that is a substitute for many of the normal duties of the kidneys (Klahr and Miller, 1998)
The higher Urinary Tract Infection (UTI) susceptibility in hemodialysis patients may be explained by a greater incidence of urinary obstructions which in turn leads to infections (Ishani et al, 2005)
While we found that S. aureus was the highest isolated bacteria (23%) followed by E. coli (19.8%) and Enterococcus spp. (11.6%)

Summary

Introduction

Renal failure describes a medical condition in which the kidneys fail to filter toxins and waste products from blood adequately; dialysis including hemodialysis is a procedure that is a substitute for many of the normal duties of the kidneys (Klahr and Miller, 1998). One of the important complications that HD patients suffer from is bacterial infection, this may be due to the abnormalities that their immune systems pass through and lead to suppress their abilities to fight bacteria including H. pylori (Sugimoto and Yamaoka, 2011). In spite of that there are factors which enhance the chance of suffering renal failure like: Diabetes, heredity, hypertension, ABO blood group is considered as an important factor in these patients (AlHamed et al, 1979).

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