{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T05:51:18Z","timestamp":1697176278865},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,11]],"date-time":"2007-01-11T00:00:00Z","timestamp":1168473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:p><jats:bold>Aims and objectives.\u2002<\/jats:bold> The combination of chronic renal insufficiency and haemodialysis represents a challenge for health professionals. Chronic renal insufficiency patients undergoing haemodialysis treatment through a temporary double\u2010lumen catheter were prospectively studied in order to identify the type and frequency of local and systemic complications.<\/jats:p><jats:p><jats:bold>Methods.\u2002<\/jats:bold> A six\u2010month period was established with a view to the inclusion of new cases. Data were acquired through interviews, clinical assessment and patient records, and entered into a Microsoft Excel database through a double entry system and exported to the Statistical Package Social Sciences software. Sixty\u2010four patients were evaluated prospectively, of which thirty\u2010eight (59.4%) were men and 35 (54.7%) required catheter insertion for immediate treatment. During the study period, 145 catheters were inserted, ranging from 1 to 7 implants per patient, 29 (45.3%) were single insertions and 127 (87.6%) catheters were inserted into the jugular vein. The catheters were left in place for an average of 30\u2003days.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> Forty\u2010one (64%) presented inadequate functioning, after about 26\u2003days. A febrile state occurred in 24 (37.5%) patients after 34\u2003days, secretion at the catheter entry site in 27 (42.2% after 26\u2003days and bloodstream infection was encountered in 34(53%) after 34\u2003days. Of the 61 blood culture samples, thirty (49%) were positive for <jats:italic>Staphylococcus aureus<\/jats:italic> that was the microorganism most frequently isolated.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold> The findings indicate worrying aspects such as the catheters permanence time, exposing patients to different complications, including infection. Furthermore, inadequate catheter functioning leads to inefficient haemodialysis treatment.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> Knowledge about complications allows for systematic care planning, prevention and control actions.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2006.01654.x","type":"journal-article","created":{"date-parts":[[2007,1,11]],"date-time":"2007-01-11T09:45:29Z","timestamp":1168508729000},"page":"414-418","source":"Crossref","is-referenced-by-count":5,"title":["Central venous access for haemodialysis: prospective evaluation of possible complications"],"prefix":"10.1111","volume":"16","author":[{"given":"Denise","family":"De Andrade","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viviane","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.5301\/JVA.2008.4632"},{"key":"e_1_2_7_3_1","first-page":"68","volume-title":"Manual de d\u00e1lise","author":"Besarab A","year":"2003"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/14.10.2288"},{"key":"e_1_2_7_5_1","first-page":"108","article-title":"Atualiza\u00e7\u00e3o em di\u00e1lise: complica\u00e7\u00f5es agudas em hemodi\u00e1lise","volume":"23","author":"Castro MCM","year":"2001","journal-title":"Jornal Brasileiro de Nefrologia"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000168967"},{"key":"e_1_2_7_7_1","first-page":"34","article-title":"A prospective study of central venous haemodialysis catheter colonization and peripheral bacteremia","volume":"51","author":"Dittmer ID","year":"1999","journal-title":"Clinical Nephrology"},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1681\/ASN.V95869","article-title":"EPIBACDIAL: a multicenter prospective study of factors for bacteremia in chronic haemodialysis patients","volume":"9","author":"Hoen B","year":"1998","journal-title":"Journal of the American Society Nephrology"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.1998.tb00383.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-86502000000600023"},{"key":"e_1_2_7_11_1","first-page":"343","volume-title":"Atualidades de Nefrologia","author":"Moys\u00e9s\u2010Neto M","year":"2000"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.00765.x"},{"key":"e_1_2_7_13_1","first-page":"44","volume-title":"Guidelines 13, 14, 15","author":"NKF\u2010DOQI Clinical Practice Guidelines For Vascular Access","year":"1997"},{"key":"e_1_2_7_14_1","first-page":"23","article-title":"Inqu\u00e9rito epidemiol\u00f3gico em unidades de di\u00e1lise do Brasil","volume":"22","author":"Sesso R","year":"2000","journal-title":"Journal Brasileiro de Nefrologia"},{"key":"e_1_2_7_15_1","volume-title":"Aspectos Gerais","author":"Sistema \u00danico de Sa\u00fade","year":"2005"},{"key":"e_1_2_7_16_1","volume-title":"Para o p\u00fablico: orim e suas fun\u00e7\u00f5es","author":"Sociedade Brasileira de Nefrologia","year":"2005"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2002.31405"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2702.2006.01654.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2702.2006.01654.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T04:59:19Z","timestamp":1697086759000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2702.2006.01654.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,1,11]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,2]]}},"alternative-id":["10.1111\/j.1365-2702.2006.01654.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2702.2006.01654.x","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,1,11]]}}}