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Surveillance System of Hemodialysis-Associated Infections in a Pediatric Unit

Published online by Cambridge University Press:  02 January 2015

Carolina Sucupira*
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, Universidade Federal de São Paulo, São Paulo-SP, Brazil
Marcelo Luiz Abramczyk
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, Universidade Federal de São Paulo, São Paulo-SP, Brazil
João Tomas de Abreu Carvalhaes
Affiliation:
Division of Pediatric Nephrology, Department of Pediatrics, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil
Maria Isabel de Moraes-Pinto
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, Universidade Federal de São Paulo, São Paulo-SP, Brazil
*
1949 apartamento 62, 01258–001 São Paulo, Brazil (carusucupira@gmail.com)
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Abstract

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The bloodstream infection surveillance system proposed by the Centers for Disease Control and Prevention (CDC) was prospectively conducted in a pediatric hemodialysis unit. Thirty patients were included; 73% had a catheter for vascular access at enrollment. Vascular access infection rate was 21.1 per 100 patient-months, well above those observed in adult patient surveys. Staphylococcus aureus was most frequently isolated (23%).

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

References

1. US Renal Data System (USRDS) 2009 Annual data report: Atlas of chronic kidney disease and end-stage renal disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD. http://www.usrds.org/Google Scholar
2.Kovalski, Y, Cleper, R, Krause, I, Davidovits, M. Hemodialysis in children weighing less than 15 kg: a single-center experience. Pediatr Nephrol 2007;22:21052110.Google Scholar
3.Goldstein, SL, Macierowski, CT, Jabs, K. Hemodialysis catheter survival and complications in children and adolescents. Pediatr Nephrol 1997;11:7477.CrossRefGoogle ScholarPubMed
4.Chand, DH, Valentini, RP. International pediatric fistula first initiative: a call to action. Am J Kidney Dis 2008;51:10161024.Google Scholar
5.Ponce, P, Cruz, J, Ferreira, A, et al. A prospective study on incidence of bacterial infections in Portuguese dialysis units. Nephron Clin Pract 2007;107:133138.CrossRefGoogle ScholarPubMed
6.Tokars, JI, Miller, ER, Stein, G. New national surveillance system for hemodialysis-associated infections: initial results. Am J Infect Control 2002;30:288295.Google Scholar
7.George, A, Tokars, JI, Clutterbuck, EJ, Bamford, KB, Pusey, C, Holmes, AH. Reducing dialysis associated bacteraemia, and recommendations for surveillance in the United Kingdom: prospective study. BMJ 2006;332:14351439.CrossRefGoogle ScholarPubMed
8.Hevens, RM, Edwards, JR, Andrus, ML, Peterson, KD, Dudeck, MA, Horan, TC; NHSN Participants in Outpatient Dialysis Surveillance. Dialysis surveillance report: National Healthcare Safety Network (NHSN)-data summary for 2006. Semin Dial 2008; 21:2428.Google Scholar
9.Shroff, R, Wright, E, Ledermann, S, Hutchinson, C, Rees, L. Chronic hemodialysis in infants and children under 2 years of age. Pediatr Nephrol 2003;18:378383.CrossRefGoogle Scholar
10.Eisenstein, I, Tarabeih, M, Magen, D, et al. Low infection rates and prolonged survival times of hemodialysis catheters in infants and children. Clin J Am Soc Nephrol 2011;6:793798.Google Scholar