Infecciones asociadas a catéteres en ni？os tratados con hemodiálisis

the medical histories of the 22 patients from the chronically-ill patient program of hemodyalisis service at our hospital were studied in 2005. ten of them had a central percutaneous venous catheter as a temporary vascular access for hemodyalisis (45,5%), but they also suffered 26 catheter-related infectious processes, some of them even more than one episode of infection. the used catheters were percutaneously placed in subclavian, femoral and internal jugular veins. those catheters inserted into the femoral vein exhibited the highest number of infectious complications. hemoculture was positive to the same germ in 14 cases of the total number of infected patients, which proved that 53,8% of patients developed catheter-related infection. predominant germs were gram-positve (53,7%) mostly coagulase-negative staphylococcus. systemic sepsis prevailed in the study and all the patients had clinical manifestations. the estimated rate of catheter-associated sepsis in hemodyalisis was 18,1%.