title: Infectious complications of prosthetic arteriovenous grafts for hemodialysis: prevention is better than cure.
abstract: Synthetic arteriovenous grafts for hemodialysis constitute the second choice in comparison with native arteriovenous fistulas. Lower patency rates and significantly more frequent infections are the main disadvantages of hemodialysis grafts over fistulas. Infectious complications could vary between a simple local erythema at a puncture site that resolves easily with antibiotics to septicemia and death. As a corollary, this kind of complications continue to be among the most important causes of morbidity and mortality in end-stage renal disease patients receiving long-term hemodialysis. The cornerstone is prevention of infections. It is generally accepted that following simple measures during the intervention of graft insertion and consecutively in every hemodialysis session could consistently reduce the risk of infection.
authors: Department of Pharmacology, Medical School, University of Athens , Athens , Greece and.
authors: Georgios
authors: G
authors: Galanopoulos
authors: Constantinos
authors: C
authors: Lambidis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D020878:Device Removal; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000145:classification / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006435:Renal Dialysis / Q000009:adverse effects* / Q000295:instrumentation*
chemical_list: D000900:Anti-Bacterial Agents