Prevention of Tunneled Hemodialysis Catheter-Related Infections Using Catheter-Restricted Filling with Gentamicin and Citrate: A Randomized Controlled Study

Gursharan Dogra, H. Herson, B. Hutchison, A.B. Irish, Christopher Heath, C. Golledge, G. Luxton, H. Moody

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    Abstract

    Tunneled catheters are widely used for the provision of hemodialysis. Long-term catheter survival is limited by tunneled catheter-related infections (CRI). This study assesses the efficacy of catheter-restricted filling with gentamicin and citrate in preventing CRI in hemodialysis patients. A double-blind randomized study was conducted to compare heparin (5000 U/ml) with gentamicin/citrate (40 mg/ml and 3.13% citrate; ratio 2:1) as catheter-lock solutions. A total of 112 tunneled catheters in 83 patients were enrolled at the time of catheter insertion for commencement or maintenance of hemodialysis. The primary end point was CRI. Catheter malfunction, defined as blood flow rate of
    Original languageEnglish
    Pages (from-to)2133-2139
    JournalJournal of the American Society of Nephrology
    Volume13
    DOIs
    Publication statusPublished - 2002

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