Abstract:

Objective: To compare the frequency of infection between internal jugular and femoral vein double lumen haemodialysis catheter in chronic kidney disease (CKD) patients. Study Design: Comparative prospective study. Place and Duration of Study: Department of Medicine, Combined Military Hospital, Peshawar, from Jan to Jun 2018. Methodology: A total of 400 patients (200 patients in each group) were included in this study. After insertion of catheter the patients were divided into 2 groups, group-A (jugular) and group-B (femoral) by lottery method and followed for development of catheter related blood stream infection (CRBI) within two weeks after its insertion. Results: Mean age of the patients was 51.68 ± 13.29 and 50.89 ± 14.31 years in group-a and b, respectively. In group-A 193 (96.5%) and in group-B 196 (98%) patients presented with chronic kidney disease duration of <4 years, in group-A 7 (3.5%) and in group-B 4 (2%) patients presented with chronic kidney disease duration of >5 years. In both groups, 65 (32.5%) were diabetic. Catheter related blood stream infection (CRBSI) was found in 13 (6.5%) and 8 (14%) in group-A & B, respectively. Conclusion: Infection frequently complicates double lumen catheters used for haemodialysis and infections are more frequent in patients with femoral vein catheter as compared to internal jugular vein.

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