Salvage of infected tunneled hemodialysis catheters using 70% ethanol lock solution: A brief report. Issue 3 (14th December 2021)

• Record Type: Journal Article
• Authors: Visweswaran, Kasi; Ravi, Ranjani; Daniel David, Jasper; Krishnaswamy, Sampathkumar; Akhil, Remyasri
• Is Part Of: Hemodialysis international. Volume 26:Issue 3(2022)
• Page Start: E22
• Page End: E26
• Publication Date: 2021-12-14
• Subjects: candida -- CRBSI -- pseudomonas -- tunneled hemodialysis catheters; Hemodialysis -- Periodicals; Renal Dialysis -- Periodicals; Renal Dialysis -- Congresses; Hemodialysis, Home -- Congresses; 617.461059
• DOI: 10.1111/hdi.12991
• Languages: English
• ISSNs: 1492-7535

Abstract

Abstract: Tunneled hemodialysis catheters are the lifeline to patients on maintenance hemodialysis with failed arteriovenous fistulas. However, thrombosis and infection are the main causes of reduced longevity of these accesses. According to IDSA guidelines, catheter‐related infection with Pseudomonas and fungi are absolute indications for catheter removal. Considering the cost and difficulties in catheter replacement, for those in whom all accesses are exhausted, retaining the same catheter may be lifesaving. We would like to present two patients in whom, 70% ethanol instillation was used to eradicate infection with these organisms as confirmed by repeat cultures post procedure. Hemodialysis is being successfully continued through the same catheter.