Infective Endocarditis in Hemodialysis: Descriptive Study  

作　　者：Nisrine Hikki Kaoutar Benraiss Mina Agrou Naima Ouzeddoun Rabia Bayahia Loubna Benamar Nisrine Hikki;Kaoutar Benraiss;Mina Agrou;Naima Ouzeddoun;Rabia Bayahia;Loubna Benamar(Department of Nephrology-Dialysis-Renal Transplantation, CHU Ibn-Sina, Rabat, Morocco, Mohammed V University, Rabat, Morocco)

机构地区：[1]Department of Nephrology-Dialysis-Renal Transplantation, CHU Ibn-Sina, Rabat, Morocco, Mohammed V University, Rabat, Morocco

出　　处：《Open Journal of Nephrology》2022年第1期133-141,共9页肾脏病（英文）

摘　　要：Introduction: Infective endocarditis (IE) is a complication associated with high mortality in chronic hemodialysis patients. The aim of our study is to describe the clinical, radiological, microbiological characteristics, and risk factors of mortality in hemodialysis patients with infective endocarditis. Methods: A retrospective study from November 2019 to November 2021 including hemodialysis patients with IE hospitalized in Ibn Sina hospital center in Rabat. Results: Eighteen hemodialysis patients were included. Mean age was 49.5 ± 18 years, sex ratio was 0.8. Catheters were the access sites most commonly used (72.3%). Median duration of hemodialysis was 12 [6;24] months. Staphylococcus species is major causative bacteria in 60%. The mitral valve was the most commonly affected (44%). Frequent complications including valve insufficiency (50%), septic embolism (66.7%). Four patients underwent surgery and eight died during hospitalization (44.5%). Mitral localization of vegetation was the only factor significantly associated with mortality in our study (P Conclusion: The catheter was the most commonly used access site compared to the arteriovenous fistula. This confirms that it’s the vascular access of choice for his low rate of infectious complication compared to the catheter.Introduction: Infective endocarditis (IE) is a complication associated with high mortality in chronic hemodialysis patients. The aim of our study is to describe the clinical, radiological, microbiological characteristics, and risk factors of mortality in hemodialysis patients with infective endocarditis. Methods: A retrospective study from November 2019 to November 2021 including hemodialysis patients with IE hospitalized in Ibn Sina hospital center in Rabat. Results: Eighteen hemodialysis patients were included. Mean age was 49.5 ± 18 years, sex ratio was 0.8. Catheters were the access sites most commonly used (72.3%). Median duration of hemodialysis was 12 [6;24] months. Staphylococcus species is major causative bacteria in 60%. The mitral valve was the most commonly affected (44%). Frequent complications including valve insufficiency (50%), septic embolism (66.7%). Four patients underwent surgery and eight died during hospitalization (44.5%). Mitral localization of vegetation was the only factor significantly associated with mortality in our study (P Conclusion: The catheter was the most commonly used access site compared to the arteriovenous fistula. This confirms that it’s the vascular access of choice for his low rate of infectious complication compared to the catheter.

关 键 词：CATHETERS ENDOCARDITIS HEMODIALYSIS MORTALITY Septic Emboli 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]