Program Book - Keck School of Medicine of USC - University of ...
Program Book - Keck School of Medicine of USC - University of ...
Program Book - Keck School of Medicine of USC - University of ...
- No tags were found...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Bacteriology <strong>of</strong> Access Infection• Staph aureus• Coag (-) Staph• Enterococcus• Gram –negative organisms• Candida• MRSA and VRE are both increasing• 2005, CDC reported 15.4% <strong>of</strong> all MRSA infectionsoccur in dialysis population and estimated 100X risk<strong>of</strong> colonization versus non-dialysis patients*Varies by access typeBacteriology <strong>of</strong> Access InfectionTaylor et al, Infect Control HospEpidemiol, 2002; 23:716-20.Prevention <strong>of</strong> HemodialysisAccess Infection• Construct fistulas whenever possible• Minimize duration <strong>of</strong> catheter use• May be some benefit to antimicrobialimpregnated catheters and antimicrobial“lock” solutions but limited data• Meticulous surgical technique, perioperativeantibiotics, avoidance <strong>of</strong>hematomas• Education and training <strong>of</strong> patients, dialysisunit staff101
Change language