Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 3 de 3
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Am J Infect Control ; 47(7): 793-797, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30736969

RESUMO

BACKGROUND: The main study aim was to track infections, evaluate performance, and identify opportunities for improved practice since infections, especially those associated with multidrug-resistant organisms, are the second most common cause of death among end-stage renal disease patients. METHODS: This study describes the establishment of baseline dialysis event surveillance at a large dialysis center. Every month, the dialysis center staff reported the total number of maintenance hemodialysis patients to the department of infection control and hospital epidemiology. The surveillance system for dialysis events included monthly monitoring of hemodialysis patients in outpatient settings for positive blood cultures, intravenous antimicrobial initiation, and local vascular access infections. RESULTS: We calculated the pooled mean rates of positive blood cultures, intravenous antimicrobial initiation, and local vascular access infections during the period from June 1, 2014 to September 30, 2017. Results indicated more dialysis events were attributed to the CVC than any other dialysis vascular access. Regardless of vascular access type, intravenous antimicrobial initiation was the most commonly reported dialysis-associated event. CONCLUSIONS: Dialysis events surveillance can be used to produce a decrease in both morbidity and mortality rates in hemodialysis patients.


Assuntos
Fístula Arteriovenosa/microbiologia , Bacteriemia/microbiologia , Infecções Bacterianas/microbiologia , Infecções Relacionadas a Cateter/microbiologia , Falência Renal Crônica/terapia , Diálise Renal , Administração Intravenosa , Adulto , Idoso , Antibacterianos/uso terapêutico , Fístula Arteriovenosa/tratamento farmacológico , Fístula Arteriovenosa/etiologia , Fístula Arteriovenosa/prevenção & controle , Bacteriemia/tratamento farmacológico , Bacteriemia/etiologia , Bacteriemia/prevenção & controle , Infecções Bacterianas/tratamento farmacológico , Infecções Bacterianas/etiologia , Infecções Bacterianas/prevenção & controle , Hemocultura , Infecções Relacionadas a Cateter/tratamento farmacológico , Infecções Relacionadas a Cateter/etiologia , Infecções Relacionadas a Cateter/prevenção & controle , Cateteres Venosos Centrais/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica , Pacientes Ambulatoriais , Estudos Retrospectivos , Vancomicina/uso terapêutico
2.
Semin Dial ; 27(1): E1-3, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24028085

RESUMO

Preserved anatomical integrity of the anterior abdominal wall is considered important in the presurgical evaluation of a patient who is being considered for placement of a peritoneal dialysis (PD) catheter. Diastasis recti abdominis (DRA) is the excessive widening or separation between the two bellies of the rectus abdominis muscle. The separation can occur anywhere along the linea alba and at times has been found to span the entire length from the xiphosternal angle to the pubic bone. Presence of DRA can pose a surgical challenge in the peritoneoscopic placement of peritoneal dialysis catheter. In this report, we discuss a case of successful placement of peritoneal dialysis catheter with peritoneoscope technique and successful initiation of peritoneal dialysis in a chronic kidney disease patient with DRA.


Assuntos
Cateterismo/métodos , Endoscópios , Doenças Musculares/complicações , Diálise Peritoneal , Reto do Abdome , Idoso , Humanos , Insuflação , Masculino , Cavidade Peritoneal , Insuficiência Renal Crônica/terapia
3.
Ren Fail ; 32(7): 892-4, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20662706

RESUMO

Reversible posterior leukoencephalopathy syndrome (RPLS) is a neurological syndrome characterized by headache, seizures, and visual loss, often associated with an abrupt increase in blood pressure. It was first described by Hinchey and colleagues in 1996 when they described a case series. RPLS has been described in number of medical conditions, renal dysfunction being one of them. Prompt diagnosis and therapy with antihypertensives, anticonvulsants, removal of any offending medication, and treatment of associated disorder are essential because early treatment might prevent progression to irreversible brain damage. Here, we report a case of young man with focal segmental glomerulosclerosis (FSGS) and heavy proteinuria, who developed classical, clinical, and neurological features of RPLS with complete recovery.


Assuntos
Glomerulosclerose Segmentar e Focal/complicações , Síndrome da Leucoencefalopatia Posterior/etiologia , Proteinúria/complicações , Humanos , Masculino , Índice de Gravidade de Doença , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...