{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T06:25:06Z","timestamp":1774938306026,"version":"3.50.1"},"reference-count":20,"publisher":"Korean Association of Internal Medicine","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["RS-2022-NR074472"],"award-info":[{"award-number":["RS-2022-NR074472"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["RS-2023-00219563"],"award-info":[{"award-number":["RS-2023-00219563"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002560","name":"Soonchunhyang University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002560","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["kjim.org"],"crossmark-restriction":true},"short-container-title":["Korean J Intern Med"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:p>Background\/Aims: Infection remains the second leading cause of mortality in patients with end-stage renal disease (ESRD). Despite the direct relationship between hemodialysis vascular access-related infections (HD-VARI) and both prognosis and mortality in ESRD patients, there is a paucity of research in this area.Methods: This retrospective study was performed at a tertiary care hospital in Seoul, Korea, from 2009 to 2020. Medical records of adult patients diagnosed with HD-VARI were assessed. We analyzed the distribution of microorganisms, clinical characteristics according to vascular access type, and evaluated risk factors for treatment failure.Results: Data from a total of 367 patients were included over the 12-year study period. Based on vascular access type, 293 (79.8%) had arteriovenous graft infections, 29 (7.9%) had arteriovenous fistula infections, and 45 (12.3%) had tunneled cuffed catheter infections. Thirty-one (8.4%) patients experienced treatment failure within 90 days. Multivariate analysis identified male sex (odds ratio [OR], 2.343; 95% confidence interval [CI], 1.041\u20135.274) and metastatic infection (OR, 4.297; 95% CI, 1.516\u201312.178) as independent predictors of 90-day infection-related treatment failure. Subtotal or total excision (removal) of the infected vascular access significantly decreased the risk of 90-day infection-related treatment failure (OR, 0.337; 95% CI, 0.129\u20130.876).Conclusions: Removal of infected vascular access played a crucial role in reducing infection-related deaths or relapses within 90 days. Management of vascular access infection should be individualized based on patient-specific factors.<\/jats:p>","DOI":"10.3904\/kjim.2025.182","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T07:16:16Z","timestamp":1772781376000},"page":"317-327","update-policy":"https:\/\/doi.org\/10.3904\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hemodialysis vascular access infections: epidemiology and risk factors for treatment failure"],"prefix":"10.3904","volume":"41","author":[{"given":"Shi Nae","family":"Yu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7724-8288","authenticated-orcid":true,"given":"Eunjung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Se Yoon","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oh-Hyun","family":"Cho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangchul","family":"Yun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tark","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Seo","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yae Jee","family":"Baek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jongtak","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Hyong","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2270","reference":[{"key":"ref1","first-page":"1","volume-title":"","year":"2024"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.00765.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/s0196-6553(03)00757-0"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.7150\/ijms.6710"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2002.31405"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2008.06.014"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.01.053"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.08.067"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000613"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.17.2066"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.07.002"},{"key":"ref13","volume-title":"","author":"Katz","year":"2011"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3947\/ic.2011.43.4.343"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7206e1"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm021"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.02.001"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2015.04.014"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2022.343"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000820"}],"container-title":["The Korean Journal of Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/kjim.org\/upload\/kjim-2025-182.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjim.org\/journal\/view.php?doi=10.3904\/kjim.2025.182","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjim.org\/upload\/kjim-2025-182.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T04:57:23Z","timestamp":1774933043000},"score":1,"resource":{"primary":{"URL":"http:\/\/kjim.org\/journal\/view.php?doi=10.3904\/kjim.2025.182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.3904\/kjim.2025.182","relation":{},"ISSN":["1226-3303","2005-6648"],"issn-type":[{"value":"1226-3303","type":"print"},{"value":"2005-6648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]},"assertion":[{"value":"2025-06-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-01","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}