Journal of Nephrology & Therapeutics

Joel McCay

Publications

• Research Article
  A Retrospective Study into the Use of Prophylactic Antibiotics Pre-Central Venous Catheter Insertion and the Associated Patient Outcomes
  Author(s): Joel McCay and Jonathan LoudenJoel McCay and Jonathan Louden
  
  The risk of bloodstream infection is thought to be as much as 2-3 times more common in patients dialysing from a central venous catheter than those via a fistula. It is not uncommon practice for some nephrology units to use prophylactic antibiotics in the hope of preventing blood stream infections in many patients already with some degree of immunosuppression. As there is no specific guidance we therefore aim to look at the rates of infections in those who received and did not receive antibiotics and their outcomes to try and produce guidelines in relation to their use. 420 lines inserted were analysed over a course of 2 years, the data was analysed and groups divided into those who received antibiotics and those who had not. Those found to be infected were followed up further by analysis of old medical notes and medication prescription charts to see the action taken following a posit.. Read More»
  DOI: 10.4172/2161-0959.1000260

  Abstract PDF