• Marina Cornacchiari, Marco Heidempergher, Antonia Stasi, Ambrogio Baroli, Lucio Bertoncini, Corrado Turri, Nicoletta Bellotti, and Carlo Guastoni.
• Nephrology Unit, Magenta Hospital, Magenta, Italy. marina.cornacchiari@ao-legnano.it
• J Vasc Access. 2011 Oct 1;12(4):313-7.

PurposeInfections are a major complication of the use of hemodialysis central venous catheters. In our study we evaluated the efficacy of the hemodialysis central venous catheter protocol management adopted in our center, through a retrospective analysis of all hemodialysis central venous catheters inserted over a period of 6 years.MethodsSeventy-three tunneled central venous catheters and 75 temporary central venous catheters were inserted in our center from 2003 to 2008 in 148 patients.ResultsDuring the follow-up we observed 30 infective events (16 assessed as bacteremias, 14 subcutaneous tunnel or exit site infections) with a rate of 0.65/1,000 days of central venous catheter implantation.ConclusionsOur experience confirms, in a 72-month follow-up, the importance of careful central venous catheter management as a crucial feature in reducing the incidence of infective events in patients with central venous catheters in dialytic treatment.

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