Infectious Complications of Hemodialysis in Children

Infections significantly complicate the care of children on hemodialysis and usually are associated with the use of a hemodialysis catheter for dialysis access

Ali Mirza Onder; Michael J. G. Somers

2021

Scholarcy highlights

  • Infections significantly complicate the care of children on hemodialysis and usually are associated with the use of a hemodialysis catheter for dialysis access
  • Infections of arteriovenous fistulae and arteriovenous grafts are uncommon, but many children on hemodialysis rely on a catheter, either while permanent access is being created or for long-term access
  • Catheter-related bloodstream infections are generally caused by skin flora and are often related to contamination of an open dialysis catheter hub during a dialysis treatment
  • Broad-spectrum antibiotics such as vancomycin and ceftazidime are typically used for empiric antibiotic therapy
  • Catheter replacement or removal may be necessary, especially with infection with difficult-to-treat organisms or with persistent or recurrent infection

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