Early identification of local infections in central venous catheters for hemodialysis: A systematic review

Background: The use of central venous catheters (CVC) is associated with higher morbidity and mortality, related to infectious complications, contributing to poorer clinical outcomes and increased healthcare costs. According to the literature, the incidence of local infections related to CVC for hem...

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Autores: Cobo-Sánchez, José Luis, Blanco-Mavillard, Ian, Mancebo-Salas, Noelia, Moya-Mier, Susana, González-Menéndez, Faustino, Renedo-González, Cristina, Lázaro-Otero, Mercedes, Pelayo-Alonso, Raquel, Gancedo-González, Zulema, de Pedro-Gómez, Joan Ernest
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/23641
Acceso en línea:https://hdl.handle.net/20.500.12105/23641
Access Level:acceso abierto
Palabra clave:Diálisis Renal
Incidencia
Catéteres Venosos Centrales
Humanos
Medición de Riesgo
Catéteres de Permanencia
Infecciones Relacionadas con Catéteres
Catheters, Indwelling
Central Venous Catheters
Risk Assessment
Humans
Renal Dialysis
Catheter-Related Infections
Incidence
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spelling Early identification of local infections in central venous catheters for hemodialysis: A systematic reviewCobo-Sánchez, José LuisBlanco-Mavillard, IanMancebo-Salas, NoeliaMoya-Mier, SusanaGonzález-Menéndez, FaustinoRenedo-González, CristinaLázaro-Otero, MercedesPelayo-Alonso, RaquelGancedo-González, Zulemade Pedro-Gómez, Joan ErnestDiálisis RenalIncidenciaCatéteres Venosos CentralesHumanosMedición de RiesgoCatéteres de PermanenciaInfecciones Relacionadas con CatéteresCatheters, IndwellingCentral Venous CathetersRisk AssessmentHumansRenal DialysisCatheter-Related InfectionsIncidenceBackground: The use of central venous catheters (CVC) is associated with higher morbidity and mortality, related to infectious complications, contributing to poorer clinical outcomes and increased healthcare costs. According to the literature, the incidence of local infections related to CVC for hemodialysis is highly variable. This variability is related to differences in definitions of catheter-related infections. Objective: To identify signs and symptoms for determining local infections (exit site and tunnel tract infections) used in the literature in tunnelled and nontunnelled CVC for hemodialysis. Design: Systematic review METHODS: Structured electronic searches were conducted in five electronic databases, from 1 January 2000-31 August 2022, using key words and specific vocabulary, as well as manual searches in several journals. Additionally, vascular access clinical guidelines and infection control clinical guidelines were reviewed. Results: After validity analysis, we selected 40 studies and seven clinical guidelines. The definitions of exit site infection and tunnel infection used in the different studies were heterogeneous. Among the studies, seven (17,5 %) used the definitions of exit site and tunnel infection based on a clinical practice guideline. Three of the studies (7.5 %) used the Twardowski scale definition of exit site infection or a modification. The remaining 30 studies (75 %) used different combinations of signs and symptoms. Conclusions: Definitions of local CVC infections are highly heterogeneous in the revised literature. It is necessary to establish a consensus regarding the definitions of hemodialysis CVC exit site and tunnel infections.Elsevier20242024-10-0920232023-07-0120232023-07-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttps://hdl.handle.net/20.500.12105/23641reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/236412026-06-12T12:43:37Z
dc.title.none.fl_str_mv Early identification of local infections in central venous catheters for hemodialysis: A systematic review
title Early identification of local infections in central venous catheters for hemodialysis: A systematic review
spellingShingle Early identification of local infections in central venous catheters for hemodialysis: A systematic review
Cobo-Sánchez, José Luis
Diálisis Renal
Incidencia
Catéteres Venosos Centrales
Humanos
Medición de Riesgo
Catéteres de Permanencia
Infecciones Relacionadas con Catéteres
Catheters, Indwelling
Central Venous Catheters
Risk Assessment
Humans
Renal Dialysis
Catheter-Related Infections
Incidence
title_short Early identification of local infections in central venous catheters for hemodialysis: A systematic review
title_full Early identification of local infections in central venous catheters for hemodialysis: A systematic review
title_fullStr Early identification of local infections in central venous catheters for hemodialysis: A systematic review
title_full_unstemmed Early identification of local infections in central venous catheters for hemodialysis: A systematic review
title_sort Early identification of local infections in central venous catheters for hemodialysis: A systematic review
dc.creator.none.fl_str_mv Cobo-Sánchez, José Luis
Blanco-Mavillard, Ian
Mancebo-Salas, Noelia
Moya-Mier, Susana
González-Menéndez, Faustino
Renedo-González, Cristina
Lázaro-Otero, Mercedes
Pelayo-Alonso, Raquel
Gancedo-González, Zulema
de Pedro-Gómez, Joan Ernest
author Cobo-Sánchez, José Luis
author_facet Cobo-Sánchez, José Luis
Blanco-Mavillard, Ian
Mancebo-Salas, Noelia
Moya-Mier, Susana
González-Menéndez, Faustino
Renedo-González, Cristina
Lázaro-Otero, Mercedes
Pelayo-Alonso, Raquel
Gancedo-González, Zulema
de Pedro-Gómez, Joan Ernest
author_role author
author2 Blanco-Mavillard, Ian
Mancebo-Salas, Noelia
Moya-Mier, Susana
González-Menéndez, Faustino
Renedo-González, Cristina
Lázaro-Otero, Mercedes
Pelayo-Alonso, Raquel
Gancedo-González, Zulema
de Pedro-Gómez, Joan Ernest
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Diálisis Renal
Incidencia
Catéteres Venosos Centrales
Humanos
Medición de Riesgo
Catéteres de Permanencia
Infecciones Relacionadas con Catéteres
Catheters, Indwelling
Central Venous Catheters
Risk Assessment
Humans
Renal Dialysis
Catheter-Related Infections
Incidence
topic Diálisis Renal
Incidencia
Catéteres Venosos Centrales
Humanos
Medición de Riesgo
Catéteres de Permanencia
Infecciones Relacionadas con Catéteres
Catheters, Indwelling
Central Venous Catheters
Risk Assessment
Humans
Renal Dialysis
Catheter-Related Infections
Incidence
description Background: The use of central venous catheters (CVC) is associated with higher morbidity and mortality, related to infectious complications, contributing to poorer clinical outcomes and increased healthcare costs. According to the literature, the incidence of local infections related to CVC for hemodialysis is highly variable. This variability is related to differences in definitions of catheter-related infections. Objective: To identify signs and symptoms for determining local infections (exit site and tunnel tract infections) used in the literature in tunnelled and nontunnelled CVC for hemodialysis. Design: Systematic review METHODS: Structured electronic searches were conducted in five electronic databases, from 1 January 2000-31 August 2022, using key words and specific vocabulary, as well as manual searches in several journals. Additionally, vascular access clinical guidelines and infection control clinical guidelines were reviewed. Results: After validity analysis, we selected 40 studies and seven clinical guidelines. The definitions of exit site infection and tunnel infection used in the different studies were heterogeneous. Among the studies, seven (17,5 %) used the definitions of exit site and tunnel infection based on a clinical practice guideline. Three of the studies (7.5 %) used the Twardowski scale definition of exit site infection or a modification. The remaining 30 studies (75 %) used different combinations of signs and symptoms. Conclusions: Definitions of local CVC infections are highly heterogeneous in the revised literature. It is necessary to establish a consensus regarding the definitions of hemodialysis CVC exit site and tunnel infections.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-07-01
2023
2023-07-01
2024
2024-10-09
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12105/23641
url https://hdl.handle.net/20.500.12105/23641
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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