TY  - JOUR
T1  - BActeremic infection in hemodialysis
AU  - Nsouli KA, Lazarus J, Schoenbaum SC, Gottlieb MN, Lowrie EG, Shocair M
Y1  - 1979/11/01
N1  - 10.1001/archinte.1979.03630480039014
JO  - Archives of Internal Medicine
SP  - 1255
EP  - 1258
VL  - 139
IS  - 11
N2  - This is a retrospective study of 133 episodes of bacteremic infection in 112 hemodialysis patients. The frequency of bacteremic infection was 9.5% in patients with chronic renal failure and 10.9% in patients with acute renal failure. In patients with acute renal failure, pneumonia and intra-abdominal abscess were the most frequent sources of septicemia. Sepsis was usually due to Gram-negative organisms and mortality was high. In patients with chronic renal failure, infection of the shunt or fistula was the most common cause, was frequently due to Staphylococcus organism, and had a more favorable survival rate. Gram-negative septicemia from a nonaccess source in patients with chronic renal failure was associated with a higher mortality. Bacterial endocarditis and septic pulmonary emboli occurred in 3.6% of septic episodes and 0.35% of patients at risk and had very low mortality. A low threshold for obtaining blood cultures and early antibiotic treatment are believed to be important in the treatment of bacteremic infections in patients undergoing long-term hemodialysis.(Arch Intern Med 139:1255-1258, 1979)
SN  - 0003-9926
M3  - doi: 10.1001/archinte.1979.03630480039014
UR  - http://dx.doi.org/10.1001/archinte.1979.03630480039014
ER  -