Hemodialysis patients with central venous catheter-related infection in nursing research.docVIP

 PAGE \* MERGEFORMAT 10 Hemodialysis patients with central venous catheter-related infection in nursing research [Keywords:] Hemodialysis central venous catheter-related infection care Infection is hemodialysis (HD) patients with the most important and one of the most common complication, but also cardiovascular complications in dialysis patients after the second death, the mortality rate of 15% to 38% [1]. Central venous catheter infection not only threatens patient safety, clinical medical care but also to put forward higher requirements. 1 type of vascular access Long-term hemodialysis vascular access, including autologous arteriovenous fistula (AVF), graft fistula and central venous catheter (CVT). CVT is divided into two kinds of temporary and permanent. U.S. K-DOQI guidelines recommend the AVF as vascular access of choice. Although the AVF thrombosis and infection rate, but 24% to 27% of the fistula is not mature, higher primary failure rate. CVT has the following advantages: multiple sites for catheter, catheter can be used after No steal, no need to puncture each dialysis, and so has little effect on hemodynamics. drawback: prone to thrombosis and infection, central vein stenosis, persistent low blood flow may lead to inadequate dialysis, affect the appearance, etc. [2 ]. Despite the high incidence of infection in CVT, but still need to use under the following circumstances: (1) the need to maintain dialysis treatment is still in the mature AVF; (2) the transition period before kidney transplantation patients; (3) late tumor with a limited life span in uremic patients; (4) AVF can not be established, not for kidney transplant patients; (5) with severe vascular disease, especially in elderly patients; (6), low blood pressure can not maintain blood flow within the fistula were; (7) repeated episodes of heart failure, making fistula induced heart failure may be aggravated or; (8) fear of puncture by hemodialysis [3]. 2 The pathogenesis of ca