SciELO - Scientific Electronic Library Online

vol.14 issue4Anticoagulation of the extracorporeal circuit sterilized with ethylene oxide and gamma irradiation: is the same dose of heparin needed?Impact of an intervention aimed at increasing knowledge of kidney disease on the timely commencement of replacement therapy author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista de la Sociedad Española de Enfermería Nefrológica

Print version ISSN 1139-1375


COBO SANCHEZ, José Luis et al. Comparative study of the incidence of bacteraemia related to the haemodialysis catheter: bioconnectrs versus direct connection. Rev Soc Esp Enferm Nefrol [online]. 2011, vol.14, n.4, pp.230-235. ISSN 1139-1375.

Objective: To compare hemodialysis catheter-related bacteremia rate between bioconectors use and direct connection. Methodology: Comparative, retrospective and cross-sectional study over 2 consecutive years (one year with direct connection - 2009 February to 2010 February - and 1 year using bioconectors Tego® -2010 March to 2011 March-) in hemodialysis patients in our unit with a permanent catheter as vascular access. Catheters connection and disconnection protocol was the same during the study period, except for the disinfecting solution used: iodine povidone was using in direct connection, and 2% chlorhexidine was using with bioconectors. Catheter-related bacteremia was defined as onset of fever with a positive blood culture in the absence of another infection source. Results: 69 patients were studied: 36 during direct connection period and 33 during use bioconectors period. Six patients were studied during both periods. Bacteremia rate during direct connection period was 24.6/1000 catheters-day (9 bacteremia), while during the using bioconectors period, bacteremia rate was 5.47/1000 catheters-day (2 bacteremia) (p = 0.036). Staphylococcus aureus (3 patients) and staphylococcus coagulase negative (3 patients) were the most common infectious agents during direct connection period. Conclusions: Use of bioconectors significantly decreases the rate of bacteremia catheter-related in hemodialysis patients versus direct connection.

Keywords : Haemodialysis; Catheters; Catheters-related infection; Bacteremia; Luer-lock bioconector; Nursing care.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License