SMJ articles in the category "hemodialysis"

Original Article

Incidence and Clinical Predictors of Nonresponse to Hepatitis B Vaccination among Patients Receiving Hemodialysis: Importance of Obesity

Objectives: The objectives of this study were to quantify the incidence of hepatitis B virus (HBV) vaccine nonresponse and identify clinical characteristics associated with vaccine nonresponse. Methods: A retrospective cohort study was conducted among patients undergoing hemodialysis (HD) receiving the HBV vaccine. Study inclusion criteria were age 18 years and…

Posted in: hemodialysis 9 hepatitis B 6 vaccination 11

Case Report

Bordetella bronchiseptica Bacteremia in a Patient with AIDS

Bordetella bronchiseptica bacteremia is often associated with various infection in animals. The majority of B bronchiseptica infections reported in humans are cases of pneumonia. Very few cases have been reported in patients with a history of acquired immune deficiency syndrome (AIDS). The patient described herein, who had a history of…

Posted in: AIDS 7 bacteremia 10 hemodialysis 9

Original Article

Hepatitis C Infection and the Risk of Bacteremia in Hemodialysis Patients with Tunneled Vascular Access Catheters

Background:The major complication of tunneled vascular catheters in dialysis patients is infection. In preliminary work, an association was noted between hepatitis C virus (HCV) infection and bacteremia in these patients. On this basis, we theorized that HCV infection may be associated with bacteremia in dialysis patients with tunneled catheters.Methods:We conducted…

Posted in: bacteremia 10 hemodialysis 9 hepatitis C 15

Original Article

Blood B-Type Natriuretic Peptide and Dialysis: Present Assessment and Future Analyses

Brain natriuretic peptide (BNP) is elevated in hemodialysis (HD) patients and predicts increased mortality. Intra- and interdialytic changes in BNP have not been fully described. End-stage renal disease (ESRD) patients were prospectively recruited at three dialysis centers. At five visits, over a 6-week period, pre- and postdialysis BNP levels were…

Posted in: end-stage renal disease 5 hemodialysis 9

Original Article

Vascular Access Infection Among Hemodialysis Patients in Northern Jordan: Incidence and Risk Factors

Objectives: Vascular access infection (VAI) causes significant mortality and morbidity in hemodialysis patients. The aim of this prospective, descriptive, exploratory survey of end-stage renal disease patients was to explore the incidence and risk factors of VAI. Methods: A total of 188 patients were included in the study from five different…

Posted in: catheter 2 hemodialysis 9 infection 11 vascular access 2

Case Report

Oxycodone Accumulation in a Hemodialysis Patient

Oxycodone and oxycodone-containing analgesics are often used for the relief of pain. In the presence of renal dysfunction, the half-life of oxycodone and metabolites can be prolonged. We describe the case of a 41-year-old chronic hemodialysis patient who received multiple doses of oxycodone/acetaminophen resulting in accumulation of the medication and…

Posted in: hemodialysis 9 opioids 10 renal failure 10 toxicity 10

Expired CME Article

Hemodialysis for the Non-nephrologist

Hemodialysis is now routinely provided to more than 300,000 patients in the United States. An epidemic of end-stage renal disease will nearly double this number by 2010. Patients undergoing chronic hemodialysis have high morbidity and mortality rates. Given these facts, most medical providers will be involved in the care of…

Posted in: complications 13 end-stage renal disease 5 hemodialysis 9

Original Article

Association of Type 2 Diabetes Mellitus and Seroprevalence for Cytomegalovirus

Background: Infection is known to play a role in type 1 diabetes, but there is a paucity of information on its role in diabetes mellitus type 2. We examined the seroprevalence of selected viruses in a group of predominantly Hispanic patients with type 2 diabetes and control subjects without diabetes….

Posted in: Age 4 atherosclerosis 13 cytomegalovirus 2 hemodialysis 9 type 2 diabetes 7

Case Report

Isolated Gastrointestinal Histoplasmosis: Case Report and Review of the Literature

The usual manifestation of histoplasmosis is in the form of respiratory illness. We report the case of a 67-year-old man who presented with chronic diarrhea and did not respond to the conventional treatment, including that for Clostridium difficile. He was found to have isolated colonic histoplasmosis infection, which was treated…

Posted in: gastrointestinal 5 hemodialysis 9 histoplasmosis 3
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