Vascular access-related infections in HIV patients undergoing hemodialysis: case description and literature review. Braz J Infect Dis 2008 Dec;12(6):531-5
Date
03/17/2009Pubmed ID
19287844DOI
10.1590/s1413-86702008000600017Scopus ID
2-s2.0-65549160919 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
Poor immune status, the use of a vascular access different from an AV fistula, and intravenous drug use (IDU) may favor increased rates of vascular access infections among HIV infected patients on hemodialysis. Staphylococcus spp. and Streptococcus spp. are the main cause of these infections, but Gram-negative rods and fungi have been found as well. Using an AV fistula when possible, and eliciting a history of IVDU on every visit may prevent this type of infection. When infections are present, coverage for both Gram-positive and negative organisms is recommended. Additional studies specifically addressing the issue of vascular access infection in HIV infected patients are required.
Author List
Castro CE, Madariaga MGAuthor
Carlos E. Figueroa Castro MD Assistant Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultCatheterization, Central Venous
HIV Infections
Humans
Kidney Failure, Chronic
Male
Methicillin-Resistant Staphylococcus aureus
Renal Dialysis
Risk Factors
Staphylococcal Infections