Factores de riesgo asociados a la infección de catéter de hemodiálisis en pacientes con insuficiencia renal estadio V atendidos en el Hospital General Milagro, año 2025.

Abstract

Introduction: The use of hemodialysis as replacement therapy in patients with chronic kidney disease is essential to increase the survival rate of these patients. The risk of infection of the hemodialysis catheter depends on the characteristics of the patient and catheter. The mortality rate is usually variable. Objective: To determine the risk factors associated with hemodialysis catheter infection in patients with stage V renal failure treated at the Milagro General Hospital during the year 2025. Methodology: This is a non-experimental, observational, descriptive, prospective and prevalence study. 69 of 229 patients were selected. The collection instrument was the review of medical records. Results: The clinical-epidemiological characteristics were male sex (75.62%), mean age of 59.61 ± 4.78 years, history of T2DM and hypertension (26.10%) and mean hemodialysis time of 5.33 ± 0.78 years. The clinical-microbiological characteristics were jugular catheter (63.77%), isolation of Staphylococcus aureus (53.62%) with antibiotic sensitivity (84.06%). The prevalence of infection associated with hemodialysis catheters in patients with stage V chronic kidney disease was 30.13%. Conclusions: Infection associated with hemodialysis catheters in terminal renal patients is multifactorial, however, diabetes mellitus is a very important risk factor in pathogenesis.