Prevalencia de sepsis por catéter de hemodiálisis en enfermedad renal crónica en mayores de 50 años en el Hospital Teodoro Maldonado Carbo 2023-2024.

Abstract

Introduction: Chronic kidney disease is the final stage of a large number of morphological changes and variations that modify the functions due to a primary disorder, within which we find arterial hypertension, glomerulopathies, diabetes mellitus. The therapeutic alternative most commonly used in these patients is renal replacement, being surpassed by renal transplantation. Within which there are different modalities such as peritoneal dialysis and the one that will be discussed in this research which is hemodialysis by central catheter and arteriovenous fistula that presents very good. A very frequent and dangerous complication of the use of a hemodialysis catheter is the infection of the catheter at the site of placement due to bacteremia that leads the patient to a septic condition that if not treated early can even lead to death of the patient. There are factors that increase the carrier's risk of suffering a hemodialysis catheter sepsis, among which we find the location, time spent in the hospital, time spent on hemodialysis, time the device has been installed. Objective: To determine the prevalence of hemodialysis catheter sepsis in chronic kidney disease in patients over 50 years of age at the Teodoro Maldonado Carbo Hospital. 2023-2024. Methodology: An observational, analytical, cross-sectional and retrospective study was carried out with a population of patients with CKD over 50 years of age using the database obtained from the Hospital de Especialidades Teodoro Maldonado Carbo. Results: A total of 67 patients were included in the study, 58 of whom had hemodialysis catheter sepsis, with a mean age of 68.8 years and a median of 66 years; it was not possible to determine whether there is a prevalent sex for hemodialysis catheter infection. A prevalence of 4.93% was determined being very similar to those seen in studies conducted abroad. Conclusions: It is concluded that catheter sepsis did not present a prevalent sex being equally frequent in both sexes, with a mean age of 68.8 years. The hypothesis proposed in the research is fulfilled by knowing parameters such as the length of hospital stay, the most frequently isolated microorganisms, and the location of the catheter