Catheter Related Blood Stream Infection, Hemodialysis, Vascular Access
Conditions
Keywords
catheter related infection, hemodialysis, Taurolidine
Brief summary
Tunneled hemodialysis catheters are susceptible to infection with high incidence of complication to the hemodialysis patients .The study aimed to prevent catheter infection through comparing use of antimicrobial solution (Taurolidine) when used as lock solution installed in the lumen of the catheter at the end of the hemodialysis session with the usually used lock solution heparin. The Study was performed on 100 hemodialysis patients over one year in Sohar hospital ,Oman .
Interventions
Taurolidine ,citrate 4% and heparin 500 units per ml used as lock solution in tunneled hemodialysis catheter
Sponsors
Study design
Eligibility
Inclusion criteria
\- All clinically stable adult end stage renal disease patients commence regular hemodialysis through tunneled hemodialysis catheter at Sohar hospital hemodialysis unit.
Exclusion criteria
* Patients with difficult vascular access and the tunneled hemodialysis catheter is the only functioning vascular access . * Patients with poor flow from the catheter. * Patients with active infection . * Patients have displayed allergic reactions to either citrate or taurolidine. * Patients were taking medication incompatible with either citrate or taurolidine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison between both groups in terms of incidence of Catheter related blood stream infection | one year | The investigators have studied the incidence of catheter related bacterial infection in both groups to determine superior effectiveness of Taurolidine lock solution than Heparin lock only in terms of prevention of infection . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison between both groups in terms of treatment cost | one year | The secondary outcome measure was to compare the treatment cost in both groups to determine cost effectiveness |
Countries
Oman