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Angiology
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Prevalence of Infection from Subclavian Dialysis Catheters with Two Different Postinsertion Catheter Cares: A Randomized Comparative Study

Sameer Huraib, F.R.C.P.C., F.A.C.P.

Division of Nephrology, Department of Medicine, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia

Akram Askar, M.D.

Division of Nephrology, Department of Medicine, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia

Hassan Abu-Aisha, F.R.C.P.

Division of Nephrology, Department of Medicine, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia

Jamal Al-Wakeel, F.R.C.P.C., A.B.I.M. (Nephro)

Division of Nephrology, Department of Medicine, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia

A comparison of the outcome of two different protocols concerning the postinsertion catheter care are reported and the literature of the subject is reviewed. Forty patients had the "Quinton" double-lumen catheter in the subclavian vein for hemodialysis. These catheters were kept in place for a total of 1392 days. The patients were divided randomly into two groups (A and B), each consisting of 20 patients. The care of group A catheters was done by the hospital intravenous (IV) team using heparin flushing three times/day The care of group B catheters was done by dialysis nurses using heparin 1 mL of 2500 units in each lumen only after dialysis, ie, three times/week. The bacteremia rate of group A was 15% while that of group B was 5%.

In conclusion, flushing the catheter with heparin 1 mL/2500 units in each lumen of the catheter at the end of dialysis, ie, three times/week along with changing the dressing once per week were found valuable in decreasing the rate of bacteremia from catheter infection.

Angiology, Vol. 45, No. 12, 1047-1051 (1994)
DOI: 10.1177/000331979404501208
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