Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-28T16:24:34.941Z Has data issue: false hasContentIssue false
  • English
  • Français

Risk Factors for Infectious Spondylodiscitis in Patients Receiving Hemodialysis

Published online by Cambridge University Press:  02 January 2015

Ramzi M. Helewa ,
John M. Embil ,
Cynthia G. Boughen ,
Mary Cheang ,
Michael Goytan ,
James M. Zacharias  and
Elly Trepman
Ramzi M. Helewa
Affiliation:
Faculty of Medicine, Winnipeg, Manitoba, Canada
John M. Embil*
Affiliation:
Section of Infectious Diseases, Department of Medicine, Winnipeg, Manitoba, Canada Department of Medical Microbiology, Winnipeg, Manitoba, Canada
Cynthia G. Boughen
Affiliation:
Clinical Support Services, Health Sciences Centre, Winnipeg, Manitoba, Canada
Mary Cheang
Affiliation:
Biostatistical Consulting Unit, Department of Community Health Sciences, Winnipeg, Manitoba, Canada
Michael Goytan
Affiliation:
Section of Orthopedics and Neurosurgery, Department of Surgery, Winnipeg, Manitoba, Canada
James M. Zacharias
Affiliation:
Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Elly Trepman
Affiliation:
Department of Medical Microbiology, Winnipeg, Manitoba, Canada Department of Orthopedic Surgery, Grand Itasca Clinic and Hospital, Grand Rapids, Minnesota
*
Infection Prevention and Control Unit, Health Sciences Centre, MS 673-820 Sherbrook Street, Winnipeg, MB R3A 1R9, Canada ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

A retrospective case-control and cohort analysis of hemodialysis patients was done to identify risk factors for spondylodiscitis. These risk factors included bacteremia, receipt of blood products, invasive procedures, and establishment of vascular access. The death rate was greater for case subjects than for control subjects (odds ratio, 2.7).

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 6 , June 2008 , pp. 567 - 571
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Taylor, G, Gravel, D, Johnston, L, Embil, J, Holton, D, Paton, S. Prospective surveillance for primary bloodstream infections occurring in Canadian hemodialysis units. Infect Control Hosp Epidemiol 2002;23:716–720.Google Scholar
2.Taylor, G, Gravel, D, Johnston, L, Embil, J, Holton, D, Paton, S. Incidence of bloodstream infection in multicenter inception cohorts of hemodialysis patients. Am J Infect Control 2004;32:155–160.Google Scholar
3.Hoen, B, Kessler, M, Hestin, D, Mayeux, D. Risk factors for bacterial infections in chronic haemodialysis adult patients: a multicentre prospective survey. Nephrol Dial Transplant 1995;10:377–381.Google Scholar
4.Ryan, SV, Calligaro, KD, Dougherty, MJ. Management of hemodialysis access infections. Semin Vase Surg 2004;17:40–44.Google Scholar
5.Hadjipavlou, AG, Mader, JT, Necessary, JT, Muffoletto, AJ. Hematogenous pyogenic spinal infections and their surgical management. Spine 2000;25:1668–1679.CrossRefGoogle ScholarPubMed
6.Tsuchiya, K, Yamaoka, K, Tanaka, K, Sasaki, T. Bacterial spondylodiscitis in the patients with hemodialysis. Spine 2004;29:2533–2537.Google Scholar
7.Abdulrahman, IS, Al-Mueilo, SH, Bokhary, HA, Ladipo, GOA, Al-Rubaish, A. A prospective study of hemodialysis access-related bacterial infections. J Infect Chemother 2002;8:242–246.Google Scholar
8.Cheesbrough, JS, Finch, RG, Burden, RP. A prospective study of the mechanisms of infection associated with hemodialysis catheters. J Infect Dis 1986;154:579–589.Google Scholar
9.George, A, Tokars, JI, Clutterbuck, EJ, Bamford, KB, Pusey, C, Holmes, AH. Reducing dialysis associated bacteraemia, and recommendations for surveillance in the United Kingdom: prospective study. BMJ 2006;332:1435.Google Scholar
10.Jindal, K, Chan, CT, Deziel, C, et al. Hemodialysis clinical practice guidelines for the Canadian Society of Nephrology. J Am Soc Nephrol 2006;17(3 Suppl 1):S1–S27.Google Scholar
11.O'Grady, NP, Alexander, M, Dellinger, EP, et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR Recomm Rep 2002;51(RR-10):1–29.Google ScholarPubMed
12.Philipneri, M, Aly, ZA, Amin, K, Gellens, ME, Bastani, B. Routine replacement of tunneled, cuffed, hemodialysis catheters eliminates paraspinal/vertebral infections in patients with catheter-associated bacteremia. Am J Nephrol 2003;23:202–207.Google Scholar