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DIALYSIS PATIENTS
basis & prevention
Dr.T.V.Rao MD
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Dr.T.V.Rao MD
3/2/16
Dr.T.V.Rao MD
3/2/16
Dr.T.V.Rao MD
INFECTIONS IN
HEMODIALYSIS UNIT
Patients
are
at
risk
with
Bacterial
infections
Viral infections
like Hepatitis B
and C
Other
prevailing
Dr.T.V.Rao MD
Dr.T.V.Rao MD
Dr.T.V.Rao MD
Dr.T.V.Rao MD
Dr.T.V.Rao MD
Microbiology
Common Bacterial Infections
Staphylococcus aureus,
coagulase negative
staphylococci (CONS), P.
aeruginosa, E. coli,
Klebsiella, and
Enterobacter were the
most frequent isolates .
From infections of the
HVAD, S. aureus and CONS
were the most commonly
isolated bacteria.
Unexpectedly, gramnegative
bacteria were Dr.T.V.Rao MD
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Infections Associated
With
Peritoneal
Dial
ysis
Continuous ambulatory
peritoneal dialysis
(CAPD) is the most
frequently utilized
technique. The
advantages of
peritoneal dialyses
include more
independence as they
can be done at home
or work and do not
require incapacitation
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maltophilia and
pseudomonas species
are associated with
contamination of the
exit site with tap water
during body wash, and
mixed flora often
implicates the
gastrointestinal tract
as the source of
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Bacterial
Infections
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Pneumonia
Pneumonia is a
common infection in
patients with end
stage renal disease..
The causative bacterial
pathogens of
community-acquired
pneumonia (CAP) in
the dialysis population
include pneumococcus
and Haemophilus
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During dialysis
Infections like
Hepatitis B and C
and bloodstream
infections are
spread from
patient to patient
most commonly
by the hands of
healthcare
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Clean
hands
before and
after every
patient
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Prevention Of Infection
Prevention of infection
is one of the few
avenues available to
reduce
hospitalizations,
control costs, and
improve quality of life
for these patients.
Common pyogenic
bacteria from the
patients endogenous
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clinical experience
demonstrates that
universal use will
ultimately lead to
mupirocin
resistance. Other
strategies may have
better results
including limiting
mupirocin
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Practising
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Face protection
(eyewear/goggles,
masks)
is required
Universal
Precautions
to protect the
mucous membranes
of the eyes, nose
and mouth when
performing
procedures that
may generate
splashes or sprays
of blood or body
fluids (e.g. during
initiation and
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Hepatitis B vaccination
Hepatitis:
Recommendations for
Preventing Transmission
of Infections Among
Chronic Hemodialysis
Patients, (precautions,
testing, immunization,
isolation, surveillance,
response, training
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Care of Environment
Additional Specifics:
splash zone nothing considered clean in it
Medication prep: no delivery carts, clean prep
Isolation Room or agreement, two station separation
for pre-reg facilities
Catheter reduction and Precautions
Water and Dialysate Cultures
Documentation of audits, breaks action
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Attention of Viewers
I am thankful to many in the world who made me to achieve my desired goals faster than
I thought, having > 3-5 million health professionals share and utilize my knowledge for the
benefit of mankind, Today I wish to be freelancer to the world to create interest in
Medical, Clinical and Diagnostic Microbiology with more emphasis on Infectious diseases
and Hospital associated Infection wish to be your partner in educating many millions who
know well the importance of Infectious diseases
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doctortvrao@gmail.com
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