How to Prevent Complications during Dialysis

Infection in dialysis patients remains an important health care issue. Studies have reported that although hospitalization rates in dialysis patients overall decline in the near future, but the infection-related hospitalization rate did not decline. Due to an increase in multi-drug resistant and less new antibiotics, and now the infection more difficult to treat, so that preventive measures should be used as the key.

First, the reasons for dialysis patients infected with

Over the years, hemodialysis (HD) and peritoneal dialysis (PD) patients has been considered for vaccination reduced the response, as demonstrated to produce such as hepatitis B, pneumococcal, tetanus toxoid vaccine protective antibodies in serum. Dialysis patients with chronic pulmonary infection mortality rate is 14 to 16 times the general population, where more than half of lower respiratory tract infections caused by Streptococcus pneumoniae.

Compared with PD patients, the higher the risk of HD patients with pulmonary infection, which may increase lung water during dialysis more information. In addition, HD patients in dialysis centers often travel together, and together we waited during dialysis, which increases the risk of respiratory pathogen transmission, while the PD is a "home" treatment.

Second, measures to reduce the prevalence of hemodialysis patients

Central venous dialysis catheters choice may also influence the risk of infection, not only whether there is a tunnel and with a cuff, the effect will be different in different designs. Therefore, catheter care varies due to different centers, which is reflected in whether adherence to aseptic technique when the catheter is connected and disconnected.

Reduce the risk of infection clinical care needs economic costs for patients and health care foundation, determine what action can effectively reduce the risk of infection, which most ineffective, is very important. Although the implementation of clinical care guidelines for infection prevention in HD patients to reduce the incidence of catheter-related bacteremia, but similar methods of care did not significantly reduce the risk of PD patients with peritonitis occurred.

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