COMPARISION OF FREQUENCY OF INFECTION BETWEEN INTERNAL JUGULAR AND FEMORAL VEIN DOUBLE LUMEN HEMODIALYSIS CATHETER IN CHRONIC KIDNEY DISEASE (CKD) PATIENTS

Abstract

Objective: To compare the frequency of infection between internal jugular and femoral vein double lumen haemodialysis catheter in chronic kidney disease (CKD) patients.Study Design: Comparative prospective study.Place and Duration of Study: Department of Medicine,Combined Military Hospital, Peshawar,from Janto Jun 2018.Methodology: A total of 400 patients (200 patients in each group) were included in this study. After insertion of catheter the patients were divided into 2groups, group-A(jugular) and group-B(femoral) by lottery method and followed for develop-ment of catheter related blood stream infection (CRBI) within two weeks after its insertion.Results: Mean age of the patients was 51.68±13.29 and 50.89±14.31 years in group-a and b, respectively. In group-A193 (96.5%) and in group-B196 (98%) patients presented with chronic kidney disease duration of <4 years, in group-A7 (3.5%) and in group-B4 (2%) patients presented with chronic kidney disease duration of >5 years. In both groups, 65 (32.5%) were diabetic. Catheter related blood stream infection (CRBSI) was found in 13 (6.5%) and 8 (14%) in group-A&B, respectively.Conclusion: Infection frequently complicates double lumen catheters used for haemodialysis and infections are more frequent in patients with femoral vein catheter as compared to internal jugular vein.