Incidence of bacterial infections in chronic kidney disease patients admitted in nephrology unit of Kathmandu Medical College Teaching Hospital

Authors

  • Laxman Adhikari Associate Professor; Division of Nephrology, Medicine Department, Kathmandu Medical College Teaching Hospital

DOI:

https://doi.org/10.3126/jkmc.v7i1.20628

Keywords:

CKD, Pneumonia, Sepsis, UTI

Abstract

Background: Infectious diseases are one of the leading causes of morbidity and mortality in chronic kidney disease patients, second only to cardiovascular causes. As the incidence of chronic kidney disease is increasing, the number of deaths due to infectious disease is also increasing. Infectious disease includes infection, bacteremia and sepsis in chronic kidney disease patients.

Objective: To assess the incidence of bacterial infections in chronic kidney disease patients.

Methodology: A prospective cross-sectional study was done among all chronic kidney disease patients admitted over 6 months in Nephrology Unit of Department of Medicine, Kathmandu Medical College Teaching Hospital.

Results: 58 patients were admitted with infectious diseases, out of which 6 patients (10.34%) died during treatment while 1 patient (1.78%) left against medical advice. Infection in patients undergoing dialysis (5D) was much more compared to stage 4 or 5chronic kidney disease patients (58.62% vs. 13.79% vs. 17.24% respectively). 19 patients (32.76%) had pneumonia, 16 patients (27.56%) had Urinary Tract Infection while 12 patients (20.70%) had sepsis. Although sepsis was less prevalent compared to pneumonia/ Urinary Tract Infection, deaths due to sepsis was very high.

Conclusion: The incidence of bacterial infections in chronic kidney disease patients is still high despite all the improvements in infection control and dialysis practices, and still lots is left to be done to reduce the morbidity and mortality caused by infections in chronic kidney disease patients.

Downloads

Download data is not yet available.
Abstract
540
PDF
589

Downloads

Published

2018-07-27

How to Cite

Adhikari, L. (2018). Incidence of bacterial infections in chronic kidney disease patients admitted in nephrology unit of Kathmandu Medical College Teaching Hospital. Journal of Kathmandu Medical College, 7(1), 26–29. https://doi.org/10.3126/jkmc.v7i1.20628

Issue

Vol. 7 No. 1 (2018)

Section

Original Research Articles

License

Copyright © Journal of Kathmandu Medical College
The ideas and opinions expressed by authors or articles summarized, quoted, or published in full text in this journal represent only the opinions of the authors and do not necessarily reflect the official policy of Journal of Kathmandu Medical College or the institute with which the author(s) is/are affiliated, unless so specified.

Authors convey all copyright ownership, including any and all rights incidental thereto, exclusively to JKMC, in the event that such work is published by JKMC. JKMC shall own the work, including 1) copyright; 2) the right to grant permission to republish the article in whole or in part, with or without fee; 3) the right to produce preprints or reprints and translate into languages other than English for sale or free distribution; and 4) the right to republish the work in a collection of articles in any other mechanical or electronic format.