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Risk Factors for Temporary Vascular Access Infection in Patients with End-Stage Renal Disease Undergoing Hemodialysis in Cipto Mangunkusumo Hospital

ACTA MEDICA INDONESIANA · Vol. 54 No. 3 (2022)

ISSN
2338-2732, 0125-9326
Terbit
2022-09-24
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

Background: Temporary vascular access is used to provide adequate hemodialysis for patients who are initiating dialysis or are awaiting maturation of a more permanent vascular access. However, infection is one of the most frequent complications of using temporary vascular access and is the second leading cause of death in patients undergoing hemodialysis after cardiovascular events. There has been no research on the risk factors for the incidence of infection in patients using temporary vascular access in Indonesia. Methods: This is a retrospective cohort study utilizing secondary data from medical records of 318 subjects aged 18 years and older with end-stage renal disease and undergoing hemodialysis using temporary vascular access at Cipto Mangunkusumo Hospital. Results: Temporary vascular access infection was found in 125 of 318 subjects (39.3%). The risk factors of temporary vascular catheter infection in the multivariate analysis were females (OR 1.731; 95% CI 1.050-2.854; p=0.032), low hemoglobin levels (OR 2.293; 95% CI 1.353-3.885; p=0.002), presence of diabetes mellitus (OR 2.962; 95% CI 1.704-5.149; p<0.001) and duration of catheter insertion (OR 5.322; 95% CI 1.871-15-135; p=0.002). The association between ferritin and catheter insertion site was not analyzed as a risk factor because it was not performed in all subjects. Conclusion: The incidence of infection in patients with end -stage renal disease undergoing hemodialysis using temporary vascular access at Cipto Mangunkusumo Hospital was 39.3%. Female gender, low hemoglobin level, diabetes mellitus, and duration of catheter insertion were risk factors for temporary vascular access infection.

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  • University of Indonesia
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Khie Chen LieAfiliasi tidak diketahui10
Robert SintoAfiliasi tidak diketahui7
Hamzah ShatriAfiliasi tidak diketahui6
Cleopas Martin RumendeAfiliasi tidak diketahui6
Sharifah ShakinahAfiliasi tidak diketahui5
Adeline PasaribuAfiliasi tidak diketahui5
Sally Aman NasutionAfiliasi tidak diketahui5
Ikhwan RinaldiAfiliasi tidak diketahui5
Kuntjoro HarimurtiAfiliasi tidak diketahui5
Erni Juwita NelwanAfiliasi tidak diketahui4
Evy YunihastutiAfiliasi tidak diketahui4
Dyah PurnamasariAfiliasi tidak diketahui4
Rudi PutrantoAfiliasi tidak diketahui4
Irsan HasanAfiliasi tidak diketahui4
Juferdy KurniawanAfiliasi tidak diketahui4
Kaka RenaldiAfiliasi tidak diketahui4
Alvina WidhaniAfiliasi tidak diketahui3
Chyntia Olivia Maurine JasirwanAfiliasi tidak diketahui3
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Aida LydiaAfiliasi tidak diketahui2
Suhardjono SuhardjonoAfiliasi tidak diketahui2
Ari Fahrial SyamAfiliasi tidak diketahui2
Dita AditianingsihAfiliasi tidak diketahui2
Em YunirUniversity of Indonesia2
Maruhum Bonar H MarbunAfiliasi tidak diketahui2
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Suhendro SuhendroAfiliasi tidak diketahui2
Cleopas M RumendeAfiliasi tidak diketahui2
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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Risk Factors for Temporary Vascular Access Infection in Patients with End-Stage Renal Disease Undergoing Hemodialysis in Cipto Mangunkusumo Hospital</dc:title>
	<dc:creator>Susilo, Adityo</dc:creator>
	<dc:creator>Suryana, Kresna Dharma</dc:creator>
	<dc:creator>Nugroho, Pringgodigdo</dc:creator>
	<dc:creator>Muhadi, Muhadi</dc:creator>
	<dc:creator>Alodia, Beryl</dc:creator>
	<dc:creator>Nainggolan, Leonard</dc:creator>
	<dc:subject xml:lang="en-US">Risk factors</dc:subject>
	<dc:subject xml:lang="en-US">temporary vascular access infection</dc:subject>
	<dc:subject xml:lang="en-US">end-stage renal disease</dc:subject>
	<dc:subject xml:lang="en-US">chronic kidney disease</dc:subject>
	<dc:subject xml:lang="en-US">hemodialysis</dc:subject>
	<dc:description xml:lang="en-US">Background: Temporary vascular access is used to provide adequate hemodialysis for patients who are initiating dialysis or are awaiting maturation of a more permanent vascular access. However, infection is one of the most frequent complications of using temporary vascular access and is the second leading cause of death in patients undergoing hemodialysis after cardiovascular events. There has been no research on the risk factors for the incidence of infection in patients using temporary vascular access in Indonesia. Methods: This is a retrospective cohort study utilizing secondary data from medical records of 318 subjects aged 18 years and older with end-stage renal disease and undergoing hemodialysis using temporary vascular access at Cipto Mangunkusumo Hospital. Results: Temporary vascular access infection was found in 125 of 318 subjects (39.3%). The risk factors of temporary vascular catheter infection in the multivariate analysis were females (OR 1.731; 95% CI 1.050-2.854; p=0.032), low hemoglobin levels (OR 2.293; 95% CI 1.353-3.885; p=0.002), presence of diabetes mellitus (OR 2.962; 95% CI 1.704-5.149; p&amp;lt;0.001) and duration of catheter insertion (OR 5.322; 95% CI 1.871-15-135; p=0.002). The association between ferritin and catheter insertion site was not analyzed as a risk factor because it was not performed in all subjects. Conclusion: The incidence of infection in patients with end -stage renal disease undergoing hemodialysis using temporary vascular access at Cipto Mangunkusumo Hospital was 39.3%. Female gender, low hemoglobin level, diabetes mellitus, and duration of catheter insertion were risk factors for temporary vascular access infection.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2022-09-24</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/2009</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 54 No. 3 (2022): Acta Medica Indonesiana; 356</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/2009/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2022 Kresna Dharma Suryana</dc:rights>
</oai_dc:dc>