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Pyrogenic Reactions in Hemodialysis Patients, Hanoi, Vietnam

Published online by Cambridge University Press:  21 June 2016

Lennox K. Archibald*
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia
Nguyen Nguyen Khoi
Affiliation:
Bach Mai Hospital, Hanoi, Republic of Vietnam
William R. Jarvis
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia
L. Barth Reller
Affiliation:
Duke University Medical Center, Durham, North Carolina
Phung Dac Cam
Affiliation:
National Institute of Health and Epidemiology, Hanoi, Republic of Vietnam
Truong Anh Thu
Affiliation:
Bach Mai Hospital, Hanoi, Republic of Vietnam
Nguyen Viet Hung
Affiliation:
Bach Mai Hospital, Hanoi, Republic of Vietnam
*
11621 Research Circle, P.O. Box 2650, Alachua, FL 32616-2650 ([email protected])

Abstract

Of 33,111 patients admitted to a large hospital in Vietnam from November 2000 through July 2001, a total of 303 were undergoing hemodialysis and had pyrogenic reactions (ie, fever and/or rigors). Ten case patients (3.3%) had documented bacteremia; pathogens were largely waterborne microorganisms. Pyrogenic reactions in case patients might have occurred because of suboptimal water quality or inadequate dialyzer reprocessing procedures.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Tokars, JI, Arduino, MJ, Favero, MA, Alter, MJ. Nosocomial infections associated with hemodialysis. In: Mayhall, CG (ed). Hospital Epidemiology and Infection Control. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2004:11391160.Google Scholar
2.Grohskopf, LA, Roth, VR, Feikin, DR, et al. Serratia liquefaciens bloodstream infections from contamination of epoetin α at a hemodialysis center. N Engl J Med 2001; 344:14911497.Google Scholar
3.Nulens, E, Bussels, B, Bols, A, Gordts, B, Van Landuyt, HW. Recurrent bacteremia by Chryseobacterium indologenes in an oncology patient with a totally implanted intravascular device. Clin Microbiol Infect 2001; 7:391393.Google Scholar
4.Hsuenh, PR, Hsiue, TR, Wu, JJ, et al. Flavobacterium indologenes bacteremia: clinical and microbiological characteristics. Clin Infect Dis 1996; 23:550555.CrossRefGoogle Scholar
5.Green, BT, Nolan, PE. Cellulitis and bacteraemia due to Chryseobacterium indologenes. J Infect 2001; 42:219220.Google Scholar
6.Linde, H-J, Hahn, J, Holler, E, Reischl, U, Lehn, N. Septicemia due to Acinetobacter junii. J Clin Microbiol 2002; 40:26962697.Google Scholar
7.Forster, DH, Daschner, FD. Acinetobacter species as nosocomial pathogens. Eur J Clin Microbiol Infect Dis 1998; 17:7377.Google Scholar
8.Kappstein, I, Grundmann, H, Hauer, T, Niemeyer, C. Aerators as a reservoir of Acinetobacter junii:> an outbreak of bacteraemia in paediatric oncology patients. J Hosp Infect 2000; 44:2730.CrossRefGoogle ScholarPubMed
9.Rodby, RA, Glick, EJ. Agrobacterium radiobacter peritonitis in two patients maintained on chronic peritoneal dialysis. Am J Kidney Dis 1991; 18:402405.Google Scholar
10.Lai, CC, Teng, LJ, Hsueh, PR, et al. Clinical and microbiological characteristics of Rhizobium radiobacter infections. Clin Infect Dis 2004; 38:149153.Google Scholar