A 12-year review of Staphylococcus aureus bloodstream infections in haemodialysis patients: more work to be done.
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Authors
Fitzgerald, S FO'Gorman, J
Morris-Downes, M M
Crowley, R K
Donlon, S
Bajwa, R
Smyth, E G
Fitzpatrick, F
Conlon, P J
Humphreys, H
Affiliation
Department of Microbiology, Beaumont Hospital, Dublin, Ireland., s.fitzgerald@svuh.ieIssue Date
2012-02-01T09:57:25ZMeSH
Bacteremia/*epidemiology/microbiology/mortalityCatheter-Related Infections/epidemiology/microbiology/mortality
Cross Infection/epidemiology/microbiology/mortality
Endocarditis/epidemiology/microbiology
Female
Humans
Ireland/epidemiology
Male
Methicillin-Resistant Staphylococcus aureus/*isolation & purification
Renal Dialysis/*adverse effects
Risk Factors
Staphylococcal Infections/*epidemiology/microbiology/mortality
Staphylococcus aureus/*isolation & purification
Metadata
Show full item recordCitation
J Hosp Infect. 2011 Nov;79(3):218-21.Journal
The Journal of hospital infectionDOI
10.1016/j.jhin.2011.06.015PubMed ID
21856042Abstract
Staphylococcus aureus bloodstream infections (BSI) are a significant cause of morbidity and mortality in haemodialysis patients. This study describes a 12-year retrospective review of S. aureus BSI in a large haemodialysis centre in a tertiary referral hospital. The overall rate of S. aureus BSI was 17.9 per 100 patient-years (range 9.7-36.8). The rate of meticillin-resistant S. aureus (MRSA) BSI was 5.6 per 100 patient-years (range 0.9-13.8). Infective complications occurred in 11% of episodes, the most common being infective endocarditis (7.6%). Ten percent of patients died within 30 days of S. aureus being isolated from blood. Most cases of S. aureus BSI (83%) were related to vascular catheters. The provision of lower-risk vascular access, such as arteriovenous fistulae, and reduced use of intravascular catheters should be priorities in all haemodialysis units. Where alternative vascular access cannot be established, interventions to reduce the risk of catheter-related infections should be implemented to reduce morbidity and mortality in this vulnerable patient group.Language
engISSN
1532-2939 (Electronic)0195-6701 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1016/j.jhin.2011.06.015
Scopus Count
Collections
Related articles
- Predictive factors of meticillin resistance among patients with Staphylococcus aureus bloodstream infections at hospital admission.
- Authors: Manzur A, Vidal M, Pujol M, Cisnal M, Hornero A, Masuet C, Peña C, Gudiol F, Ariza J
- Issue date: 2007 Jun
- Patients at risk of complications of Staphylococcus aureus bloodstream infection.
- Authors: del Rio A, Cervera C, Moreno A, Moreillon P, Miró JM
- Issue date: 2009 May 15
- Feedback to clinicians on preventable factors can reduce hospital onset Staphylococcus aureus bacteraemia rates.
- Authors: Kok J, O'Sullivan MV, Gilbert GL
- Issue date: 2011 Oct
- Risk factors for mortality of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infection: with investigation of the potential role of community-associated MRSA strains.
- Authors: Wang JT, Wang JL, Fang CT, Chie WC, Lai MS, Lauderdale TL, Weng CM, Chang SC
- Issue date: 2010 Dec
- Staphylococcus aureus healthcare associated bacteraemia: An indicator of catheter related infections.
- Authors: Bonnal C, Birgand G, Lolom I, Diamantis S, Dumortier C, L'Heriteau F, Armand-Lefevre L, Lucet JC
- Issue date: 2015 Mar