The UK Vascular Access Survey--follow-up data and repeat survey (chapter 5).
In the 2006 Vascular Access Survey, 51% of all patients commenced renal replacement therapy (RRT) using definitive access. Of patients commencing on haemodialysis HD, 37% commenced with definitive access (31% in the 2005 survey). Of those known to the renal units for a year or more, only half started HD with definitive access. Around 4% of patients currently receiving HD were in-patients. Around 30% of staphylococcal line infections were methicillin resistant Staphylococcus aureus (MRSA), which was similar to the 2005 survey. At 6 months after starting RRT, 76% of live patients were using definitive access [defined as the use of peritoneal dialysis (PD), transplant, arteriovenous fistula (AVF) or arteriovenous graft (AVG)] and at 12 months it was 80%. Of the HD patients starting RRT in April 2005, 65% started using venous catheters, at 6 months this had fallen to 35% and at 12 months to 30%. The use of non-tunnelled lines was <1% by 6 months. The proportion on PD had fallen slightly at 12 months (from 20% to 16%) by which time 11% had received a transplant, 1% had recovered and 18% had died. Data returns for the 2006 survey were returned from 37/74 renal units compared with returns from 62 units in the 2005 survey.
Fluck
Richard
R
Derby City Hospital, Uttoxeter Rd, Derby. richard.fluck@nhs.net
Rao
Raman
R
van Schalkwyk
Dirk
D
Ansell
David
D
Feest
Terry
T
D001166:Arteriovenous Shunt, Surgical; D001808:Blood Vessels / Q000637:transplantation; D002406:Catheterization, Peripheral; D002408:Catheters, Indwelling / Q000382:microbiology / Q000706:statistics & numerical data*; D005500:Follow-Up Studies; D019538:Health Care Surveys; D006801:Humans; D015994:Incidence; D016106:Methicillin Resistance; D006435:Renal Dialysis / Q000379:methods*; D051437:Renal Insufficiency / Q000628:therapy*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects; D019737:Transplants; D006113:United Kingdom