ESPN 51th Annual Meeting

ESPN 2018


 
Haemodialysis Vascular access related infection among Tunisian children
SAMEH MABROUK FADWA MAJOUBD SALSABIL NOUIR HOUDA AJMI NOURA ZOUARI CHAHINE MANSOURI 2 CHERIFA CHAOUECH 2 JALEL CHEMLI 1 NOUREDDINE BOUJAAFAR 2 SAIDA HASSAYOUN 1 SAOUSSEN ABROUG 1

1- DEPARTEMENT OF PEDIATRICS UNIVERSITY HOSPITAL OF SAHLOUL (SOUSSE - TUNISIA)
2- DEPARTEMENT OF MICROBIOLOGY - UNIVERSITY HOSITAL OF SAHLOUL (SOUSSE - TUNISIA)
 
Introduction:

 

Haemodialysis related infections are responsible of additional morbidity and mortality in ESRD patients. Data concerning this complication in haemodialysis children are scarce. The aim of this study was to determine the frequency of Haemodialysis Vascular access related infection among Tunisian children.

Material and methods:

 

Retrospective descriptive analysis of the cases of Haemodialysis Vascular access related infection among children undergoing haemodialysis in the department of paediatric nephrology in the university hospital Sahloul during a period of 4 years (2012 – 2015).

Results:

 

69 patients were included, 38 girls and 31 boys. Mean age at dialysis initiation was 10± 3.7 years. The rate of catheter related infection was 55.1% with an incidence of 19.7 for 1000 Use-Days. As for native fistulas the rate of infections was 14.4% with an incidence of 0.4 for 1000 Use-Days. Gram positive cocci were isolated in 89 % of cases, especially Staphylococcus aureus in 87.7% of cases. Methicillin resistant strains represented 12.9% of cases. Risk factors significantly correlated to infection occurrence were hyoalbuminia (p=0.000), the type of vascular access (p=0.000) and a catheterization duration exceeding 10 days (p=0.000).

Conclusions:

 

Haemodialysis Vascular access related infection among Tunisian children are frequent, and mainly related to central intravascular catheters. Preventive measures are essential, through an active action on risk factors, and the development of local strategies to improve aseptic measures and lessen of the catheter use.