Risk factors of catheter-related bloodstream infection in hemodialysis patients:a Meta-analysis
10.3760/cma.j.cn211501-20200809-03489
- VernacularTitle:血液透析患者导管相关性血流感染危险因素的Meta分析
- Author:
Zhi CAI
1
;
Guizhi LU
;
Xinyu CHOU
;
Yanling MA
Author Information
1. 哈尔滨医科大学护理学院 150086
- Keywords:
Hemodialysis;
Catheter-related bloodstream infection;
Risk factors;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2021;37(23):1830-1836
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors of catheter-related bloodstream infection in hemodialysis patients using Meta-analysis.Methods:We searched PubMed, Web of Science, Cochrane Library, Embase, CBM, CNKI and Wangfang Data to collect literature about risk factors of catheter-related bloodstream infection in hemodialysis patients. Data were analyzed by RevMan 5.3 after literature screening, data extraction, and quality appraisal according to criteria by two researchers independently.Results:Ten literatures were recruited,including 3 143 cases and 7 risk factors.According to Meta analysis, catheter indwelling time ( OR value was 2.59, 95% CI 1.18-5.68), times of intubation ( OR value was 10.02, 95% CI 5.93-16.92), femoral vein catheterization ( OR value was 1.73, 95% CI 1.32-2.25), age ( OR value was 1.94, 95% CI 1.50-2.51), diabetes mellitus ( OR value was 2.58, 95% CI 2.03-3.29) and hemoglobin level ( OR value was 1.61, 95% CI 1.18-2.18), were significantly different in each group (all P<0.05). Conclusions:The main of risk factors for catheter-related bloodstream infection in hemodialysis patients are catheter indwelling time, times of intubation, femoral vein catheterization, age, diabetes mellitus and hemoglobin level. However, the relationship between catheter-related bloodstream infection and albumin level needs to be confirmed by more studies.
