NURSING CARE FOR PATIENTS WITH END-STAGE RENAL DISEASE UNDERGOING HEMODIALYSIS WITH CATHETER RELATED BLOODSTREAM INFECTION
Keywords:
End-Stage Renal Disease, Hemodialysis, Catheter-Related Bloodstream InfectionsAbstract
End-stage chronic kidney disease (ESRD) results from the permanent loss of kidney function, leading to the accumulation of waste products in the body. Patients with ESRD require hemodialysis using an artifcial kidney machine. One of the most common and life-threatening complications in these patients is bloodstream infection caused by vascular catheters. Nurses play a crucial role in assessing, planning, providing care, and monitoring patients undergoing hemodialysis to ensure favorable outcomes.
This article aims to review knowledge on the defnition, vascular catheters used in hemodialysis, types of infection, pathogenesis and risk factors of Infectious disease, the diagnosis of bloodstream infections caused by these catheters, the treatment of catheter related bloodstream infection and the nursing care of patients with ESRD undergoing hemodialysis, focusing on three phases: before, during, and after dialysis. The goal is to ensure the patient’s safety, prevent complications, reduce the risk of recurrent infections, and empower patients to care for themselves in preventing bloodstream infections from vascular catheters.
References
Agarwal, A. K., Roy-Chaudhury, P., Moun ts, P., Hurlburt, E., Pfaffle, A., & Poggio, E. C. (2023). Taurolidine/heparin lock solution and Catheter-related bloodstream infection in Hemodialysis: A randomized, double-blind, active-control, phase 3 study. Clinical Journal of the American Society of Nephrology, 18(11), 1446-1455.
Baang J. H., Inagaki, K., Nagel, J., Ramani, K., Stillwell, T. L., Mack, M., Wesorick, D., Mack, M., Wesorick, D., Proudlock, A. (2023). Inpatient diagnosis and treatment of catheter-related bloodstream infection. Michigan Medicine, University of Michigan. https://www.ncbi.nlm.nih.gov/books/NBK589895/
Bamrasnaradura Infectious Diseases Institute. (2020). Prevent and control infection in hospital guildline. Aksorn Graphic and Design Publishing. [in Thai]
Blattner, B. (1981). Holistic nursing. Prentice Hall.
Chaiyurat, T. (2024). The effect of implementing End-Stage Renal Disease (ESRD) care guidelines on hemodialysis adequacy for ESRD patients at the hemodialysis unit 1, BuengKan hospital. https://bkpho.moph.go.th/ssjweb/bkresearch/require/fles/post-doc/20240103104216.pdf [in Thai]
Chancharoenthana, W., & Lamong, S. (2014). Surface-coated tunneled hemodialysis catheter. Chulalongkorn Medical Journal, 58(5), 511-523. [in Thai]
Chuasuwan, A., & Lumpaopong, A. (2020). Thailand renal replacement therapy year 2020. The Nephrology Society of Thailand. https://www.nephrothai.org/wp-content/uploads/2022/06/Final-TRT-report-2020.pdf [in Thai]
Doninsap, J. (2023). Nursing case of end stage kidney disease patient for continuous peritoneal dialysis with peritonitis from mycobacterium tuberculosis: Case Study. Phichit Public Health Research and Academic Journal, 4(2), 106-115. [in Thai]
Dumrongkit, S. (2024). Nursing care for patients with end stage renal disease with hemodialysis with catheter related bloodstream infections: A study of two cases. Sakon Nakhon of Public Health. [In Thai]
Ghonemy, T. A., Farag, S. E., Soliman, S. A., Amin, E. M., & Zidan, A. A. (2019). Vascular access complications and risk factors in hemodialysis patients: A single-center study. Alexandria Journal of Medicine, 52(1), 67-71.
Hashmi, M. F., Benjamin, O., & Lappin, S. L. (2023). End-stage renal disease. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK499861/
Health Data Center. (2024). Report of end stage renal patient. https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=e71a73a77b1474e63b71bccf727009ce [in Thai]
Jaraspongpisuth, R., & Lapphra, K. (2019). Rational antibiotic drug use for population. Pediartric Infectious Disease Society of Thailand. https://www.pidst.or.th/A743.html [in Thai]
Jeamanukoolkit, P. (2020). Preemptive vascular access in patient with chronic kidney disease. Journal of The Police Nurses, 12(1), 181-186. [In Thai]
Jurekaew, S., & Krueasawat, S. (2014). Nursing manual for renal failure patients who underwent long-term catheterization for hemodialysis during preoperative preparation and postoperative follow-up periods. Mahidol University. https://www2.si.mahidol.ac.th/division/nursing/sins/attachments/article/215/sins_nursing_manual_2558_03.pdf [in Thai]
Kiattimanaroj, A. (2021). The development of a model of care for patients with sepsis, Wapipathum hospital academic. Academic Journal of Mahasarakham Provincial Public Health Offce, 5(9), 27-43. [in Thai]
Kitpermkiat, R. (2024, July 10). CRBSI: Prevention and management. CIM Journal. https://cimjournal.com/confer-update/crbsi-prevention-management/?fbclid=IwY2xjawN409 [in Thai]
Kumbar, L., & Yee, J. (2019). Current concepts in hemodialysis vascular access infections. Advances in Chronic Kidney Disease, 26(1), 16-22.
Liu, Y., Wang, L., Han, X., Wang, Y., Sun, X., Jiang, H., Shi, W., Liu, W., Fu, P., Ding, X., Lin, H., & Chen, X. (2020). The profle of timing dialysis initiation in patients with end-stage renal disease in China: A cohort study. Kidney and Blood Pressure Research, 45(2), 180-193.
Lok, C. E., Huber, T. S., Lee, T., Shenoy, S., Yevzlin, A. S., Abreo, K., Allon, M., Asif, A., Astor, B. C., Glickman, M. H., Graham, J., Moist, L. M., Rajan, D. K., Roberts, C., Vachharajani, T. J., Valentini, R. P., & National Kidney Foundation. (2020). KDOQI clinical practice guideline for vascular access: 2019 update. American Journal of Kidney Diseases, 75(4), S1-S164.
Mahantassanapong, C. (2012). Outcome of the Surin sepsis treatment protocol in sepsis management. Srinagarind Medical Journal, 27(4), 332-337. [in Thai]
Meepaen, M. (2018). Nursing care of chronic hemodialysis with mineral and bone disorder: A case study. Singburi Hospital Journal, 27(2), 39-50. [in Thai]
Narawutthiporn, P. (2022). Nursing care of the patient with Central Line-Associated Bloodstream Infection (CLABSI): Comparative case studies. Journal of Nursing Christian University, 9(2), 70-87. [in Thai]
Prasert, A., Sathiraphot, B., Tassanavipas, P., Timachai, P., Nata, N., & Supasin, A. (2022). Pocket dialysis. The Kidney Foundation of Thailand. [in Thai]
Samrannet, W., Korissaranuphab, N., & Chansri, P. (2020). Self-management on volume overload in end-stage renal disease undergoing hemodialysis patients. Journal of Health Research and Development, Nakhon Ratchasima Provincial Public Health Offce, 6(2), 5-20.
Sattayawan, Y. (2022). Quality of life in patients with end stage renal disease who used renal palliative care, Nongwuaso district, Udon Thani province. Journal Udonthani Hospital Medical, 30(3), 435-445.
Song, J. H. (2018). Complications of hemodialysis. In Kim, Y. L., & Kawanishi, H. (Eds.), The essentials of clinical dialysis. Springer.
Strategy and Planning Division Ministry of Public Health. (2018). Public health statistics 2018. Health Information Group. [in Thai]
The Nephrology Society of Thailand. (2022). Clinical practice recommendation for nutritional management in adult kidney patients 2018. The Nephrology Society of Thailand. [in Thai]
The Nephrology Society of Thailand. (2022). Clinical practice recommendations for evaluation and management of chronic kidney disease in adults 2022 (Revised ed.). The Nephrology Society of Thailand. [in Thai]
Vachirasrisirikul, S. (2018). The clinical outcomes of using brachial-basilic transposition arteriovenous fstula and prosthetic upper arm arteriovenous graft as vascular access in late stagechronic renal failure. Buddhachinaraj Medical Journal, 35(2), 224-235. [in Thai]
Wang, Y., & Sun, X. (2022). Reevaluation of lock solutions for central venous catheter in hemodialysis: A narrative review. Renal Failure, 44(1), 1501-1518.
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