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Catheter‐related Infection and Septicemia: Impact of Seasonality and Modifiable Practices from the DOPPS
dc.contributor.authorLok, Charmaine E.en_US
dc.contributor.authorThumma, Jyothi R.en_US
dc.contributor.authorMcCullough, Keith P.en_US
dc.contributor.authorGillespie, Brenda W.en_US
dc.contributor.authorFluck, Richard J.en_US
dc.contributor.authorMarshall, Mark R.en_US
dc.contributor.authorKawanishi, Hidekien_US
dc.contributor.authorRobinson, Bruce M.en_US
dc.contributor.authorPisoni, Ronald L.en_US
dc.date.accessioned2014-02-11T17:57:12Z
dc.date.available2015-03-02T14:35:33Zen_US
dc.date.issued2014-01en_US
dc.identifier.citationLok, Charmaine E.; Thumma, Jyothi R.; McCullough, Keith P.; Gillespie, Brenda W.; Fluck, Richard J.; Marshall, Mark R.; Kawanishi, Hideki; Robinson, Bruce M.; Pisoni, Ronald L. (2014). "Catheter‐related Infection and Septicemia: Impact of Seasonality and Modifiable Practices from the DOPPS." Seminars in Dialysis (1): 72-77.en_US
dc.identifier.issn0894-0959en_US
dc.identifier.issn1525-139Xen_US
dc.identifier.urihttps://hdl.handle.net/2027.42/102686
dc.description.abstractHemodialysis (HD) catheter‐related infection (CRI) and septicemia contribute to adverse outcomes. The impact of seasonality and prophylactic dialysis practices during high‐risk periods remain unexplored. This multicenter study analyzed DOPPS data from 12,122 HD patients (from 442 facilities) to determine the association between seasonally related climatic variables and CRI and septicemia. Climatic variables were determined by linkage to National Climatic Data Center of National Oceanic and Atmospheric Administration data. Catheter care protocols were examined to determine if they could mitigate infection risk during high‐risk seasons. Survival models were used to estimate the adjusted hazard ratio (AHR) of septicemia by season and by facility catheter dressing protocol. The overall catheter‐related septicemia rate was 0.47 per 1000 catheter days. It varied by season, with an AHR for summer of 1.46 (95% CI: 1.19–1.80) compared with winter. Septicemia was associated with temperature (AHR = 1.07; 95% CI: 1.02–1.13; p  < 0.001). Dressing protocols using chlorhexidine (AHR of septicemia = 0.55; 95% CI: 0.39–0.78) were associated with fewest episodes of CRI or septicemia. Higher catheter‐related septicemia in summer may be due to seasonal conditions (e.g., heat, perspiration) that facilitate bacterial growth and compromise protective measures. Extra vigilance and use of chlorhexidine‐based dressing protocols may provide prophylaxis against CRI and septicemia.en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.publisherNational Institute of Diabetes and Digestive and Kidney Diseasesen_US
dc.titleCatheter‐related Infection and Septicemia: Impact of Seasonality and Modifiable Practices from the DOPPSen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelInternal Medicine and Specialtiesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/102686/1/sdi12141.pdf
dc.identifier.doi10.1111/sdi.12141en_US
dc.identifier.sourceSeminars in Dialysisen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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