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Enfermería Nefrológica

On-line version ISSN 2255-3517Print version ISSN 2254-2884

Abstract

CREHUET RODRIGUEZ, Isabel et al. New alternative to prevent removal of the hemodialysis catheter. Case report. Enferm Nefrol [online]. 2019, vol.22, n.1, pp.80-83. ISSN 2255-3517.  http://dx.doi.org/10.4321/s2254-28842019000100011.

One of the major complications of the use of tunnelled venous catheters for hemodialysis are infections, of which “tunnelitis” or subcutaneous tunnel infection and generally involve the removal of the catheter.

The case of an 81-year-old patient with multiple pathologies and severe vascular access problems in which she developed a recurrent subcutaneous tunnel tunnel infection (tunelitis) is presented. In order to avoid exchanging that catheter, due to its good functioning and the enormous difficulty to achieve a new vascular access, a specific treatment was applied consisting of instilling in the subcutaneous tunnel 500 mg Vancomycin dissolved in saline by means of an Abbocath® no 26, in order to impregnate the components of the catheter. A year after this episode the catheter remained functioning without signs of infection.

Keywords : bacteremia related to the catheter; tunneled catheter; hemodialysis; infection.

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