[Pyoinflammatory complications of the permanent vascular hemodialysis access].
Of 315 patients with permanent vascular hemodialysis access, 23 (7,3%) patients developed pyoinflammatory complications in various terms after the operation. Angiogenic sepsis was registered in 73,9% of them. Lethality among patients with pyoinflammatory complications of the vascular access was 69,6%. Gram-positive polyresistant microorganisms were predominantly defined. Clinical features of the pyoinflammatory process in the category of patients were: typical picture of phlegmon or infiltration in 50%; latent laboratory and clinical signs of the systemic inflammatory response. The above features and immunodeficiency defined late diagnostics and antibioticotherapy and, therefore, high lethality level in that category of patients.
Evseev
M A
MA
Ismailov
N B
NB
Kozlov
D V
DV
Baĭkov
B V
BV
D002408:Catheters, Indwelling / Q000009:adverse effects*; D005500:Follow-Up Studies; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D015994:Incidence; D007676:Kidney Failure, Chronic / Q000628:therapy; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods; D012189:Retrospective Studies; D012307:Risk Factors; D012426:Russia / Q000453:epidemiology; D018805:Sepsis / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D015996:Survival Rate