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SURVEILLANCE OF HEMODIALYSIS RELATED INFECTIONS: A PROSPECTIVE MULTICENTER STUDY, FIRST REPORT FROM TURKEY
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  • Imran Hasanoğlu,
  • Rahmet Güner,
  • Hacı Veli Atalay,
  • Suzan Şahin,
  • Ergün Parmaksız,
  • FATMA YILMAZ KARADAĞ,
  • Sabahat Alısır Ecder,
  • Tugba Arslan Gülen,
  • Zuhal Atan Uçar,
  • Oğuz Karabay,
  • Savaş Sipahi,
  • Esra Kaya Kılıç,
  • Murat Duranay,
  • Derya Yapar,
  • İbrahim Doğan,
  • Gülden Ersöz,
  • Gülcan Türkmen,
  • Ahmet Alper Kıykım
Imran Hasanoğlu
Ankara Yildirim Beyazit University Faculty of Medicine
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Rahmet Güner
Ankara Yildirim Beyazit University Faculty of Medicine
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Hacı Veli Atalay
Ankara Gülhane Eğitim ve Araştırma Hastanesi
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Suzan Şahin
Istanbul Dr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi
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Ergün Parmaksız
Istanbul Dr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi
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FATMA YILMAZ KARADAĞ
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Sabahat Alısır Ecder
Medeniyet University Goztepe Training and Research Hospital
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Tugba Arslan Gülen
Niğde Ömer Halisdemir University
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Zuhal Atan Uçar
Niğde Ömer Halisdemir University
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Oğuz Karabay
Sakarya Universitesi Tip Fakultesi
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Savaş Sipahi
Sakarya Universitesi Tip Fakultesi
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Esra Kaya Kılıç
Sağlık Bakanlığı Ankara Eğitim ve Araştırma Hastanesi
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Murat Duranay
Sağlık Bakanlığı Ankara Eğitim ve Araştırma Hastanesi
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Derya Yapar
Hitit University Faculty of Medicine,Turkey.
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İbrahim Doğan
Hitit University
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Gülden Ersöz
Mersin Üniversitesi Tıp Fakültesi
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Gülcan Türkmen
Mersin Universitesi
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Ahmet Alper Kıykım
Mersin University
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Abstract

Background There is neither a surveillance system nor a study to reveal the HD related infection rates in Turkey. We aimed to investigate the infection rate among HD outpatients and implement CDC’s surveillance system. Methods A multicenter prospective surveillance study is performed to investigate the infection rate among HD patients. CDC National Healthcare Safety Network dialysis event (DE) protocol is adopted for definitions and reporting. Results During April 2016–April 2018, 9 centers reported data. A total of 199 DEs reported in 10035 patient-months, and the overall DE rate was 1.98 per 100 patient-months. Risk of blood culture positivity is found to be 17.6 times higher when hemodialysis was through a tunneled catheter than through an arteriovenous fistula. DE rate was significantly lower in patients educated about the care of their vascular access site. Mean body mass index was significantly higher in patients with any DE. Staphylococcus aureus was the most causative microorganism among mortal patients. Outcomes of DEs were hospitalization (73%), loss of vascular access (18.2%), and death (7.7%). Conclusions This first surveillance study in Turkey gave insight into current DE status and will guide to generate a national surveillance system for maintaining much lower DE rates.