AI Summary & Key Takeaways
AI InsightConclusion: Appropriate infection control measures, immunizations and education of patients and health workers come to the forefront in reducing the frequency of blood-borne infections in hemodialysis patients.
📌 3 Key Takeaways
Abstract
Objectives: It was aimed to examine the blood-borne infections in patients to whom hemodialysis is applied due to chronic renal failure and evaluating the effectiveness of infection control programs in this study.Materials and methods: Patients who underwent routine hemodialysis between January and August 2018 were included into the study. The study was designed as a retrospective. The blood samples taken from patients during their health screenings were tested with the macro ELISA method for HBsAg, Anti-HBs, Anti-HCV and Anti-HIV observations at the microbiology laboratory and the clinical information was acquired from patient files.Results: There were no patients who developed reactivity of chronic HBsAg and anti-HIV based on dialysis. One of eight Anti-HCV reactive patients was not included in the analyses since the patient had the disease before undergoing dialysis. It was detected that Anti-HCV reactive patients underwent dialysis for more than five years and they had a lower mean age (p<0,005). In only five (55.5%) of nine patients who received hepatitis B vaccine, protective antibody titer was reached. Conclusion: Appropriate infection control measures, immunizations and education of patients and health workers come to the forefront in reducing the frequency of blood-borne infections in hemodialysis patients.
Özet
AMAÇ: Bu çalışmada, kronik böbrek yetmezliği tanısıyla hemodiyaliz uygulanan hastalarda; kan yoluyla bulaşan enfeksiyonlar incelenerek enfeksiyon kontrol programlarının etkinliğinin değerlendirilmesi amaçlanmıştır. GEREÇ ve YÖNTEM: Çalışmada 1 Ocak- 1 Ağustos 2018 tarihleri arasında rutin hemodiyaliz uygulanan hastaların dosyaları restrospektif olarak incelendi. Hastaların demografik özellikleri ve hastanemiz mikrobiyoloji laboratuvarında macro ELİSA yöntemi ile çalışılan HBsAg, Anti-HBs, Anti-HCV ve Anti-HİV serolojileri kaydedildi. BULGULAR: Hemodiyaliz sonrası HBsAg ve Anti-HİV reaktifliği gelişen hasta bulunmamakta olup; Anti-HCV reaktifliği olan yedi hasta saptandı. Anti-HCV reaktif hastaların beş yıldan daha uzun diyalize girdiği ve yaş ortalamalarının daha düşük olduğu saptandı (p<0,005). Hepatit B aşısı yapılan dokuz hastanın yalnızca beşinde (%55,5) koruyucu antikor titresine ulaşıldığı görüldü. SONUÇ: Hemodiyaliz hastalarında kan yoluyla bulaşan enfeksiyonların sıklığını azaltmada uygun enfeksiyon kontrol önlemleri, hasta ve sağlık çalışanlarının bağışıklaması ve eğitimleri ön plana çıkmaktadır.