Infections in patients with end-stage renal disease - An overview

被引:16
作者
Berman, SJ [1 ]
机构
[1] Univ Hawaii, John A Burns Sch Med, Honolulu, HI 96822 USA
关键词
D O I
10.1016/S0891-5520(05)70168-9
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
One of the best kept secrets in medicine is the problem of infections in patients with end-stage renal disease. The prescription of chronic hemodialysis has not reduced the problem of infection; it has only changed the paradigm. Dialysis superimposes myriad new problems onto patients with relentless deterioration from underlying multisystem disease and poor wound healing. All end-stage renal disease and transplant programs require the input from an individual with the specialized knowledge of laboratory diagnosis, pharmacokinetics of antibiotics, antibiotic choice, antimicrobial resistance, infection control, and infection prevention. This article gives an overview of some of the complexities of infectious problems experienced by this unique biological model.
引用
收藏
页码:709 / +
页数:13
相关论文
共 97 条
[1]  
Albers F J, 1994, Adv Ren Replace Ther, V1, P107
[2]   TUBERCULOSIS IN PATIENTS WITH END-STAGE RENAL-DISEASE [J].
ANDREW, OT ;
SCHOENFELD, PY ;
HOPEWELL, PC ;
HUMPHREYS, MH .
AMERICAN JOURNAL OF MEDICINE, 1980, 68 (01) :59-65
[4]   An outbreak of bloodstream infections arising from hemodialysis equipment [J].
Arnow, PM ;
Garcia-Houchins, S ;
Neagle, MB ;
Bova, JL ;
Dillon, JJ ;
Chou, T .
JOURNAL OF INFECTIOUS DISEASES, 1998, 178 (03) :783-791
[5]   Outpatient vancomycin use and vancomycin-resistant enterococcal colonization in maintenance dialysis patients [J].
Atta, MG ;
Eustace, JA ;
Song, XY ;
Perl, TM ;
Scheel, PJ .
KIDNEY INTERNATIONAL, 2001, 59 (02) :718-724
[6]   Community-acquired pneumonia in adults: Guidelines for management [J].
Bartlett, JG ;
Breiman, RF ;
Mandell, LA ;
File, TM .
CLINICAL INFECTIOUS DISEASES, 1998, 26 (04) :811-838
[7]  
BAUM J, PHAGOCYTIC CELL HOST
[8]   A simple comorbidity scale predicts clinical outcomes and costs in dialysis patients [J].
Beddhu, S ;
Bruns, FJ ;
Saul, M ;
Seddon, P ;
Zeidel, ML .
AMERICAN JOURNAL OF MEDICINE, 2000, 108 (08) :609-613
[9]  
BERMAN SJ, 1979, DIALYSIS TRANSPLANT, V8, P324
[10]  
Beto J A, 1999, J Ren Nutr, V9, P2, DOI 10.1016/S1051-2276(99)90015-8