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| Name | Class |
|---|---|
| New Jeddah Clinic Hospital | INDUSTRY |
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Hemodialysis patients frequently develop catheter-related blood stream bacteremia (CRBSI). Procalcitonin is a marker of sepsis in bacterial infection. this study for detection of its role as a surrogacy marker in CRBSI.
Catheter-related blood stream bacteremia is common among hemodialysis patients. Clinically, fever and/or rigors with laboratory indicator of inflammation as leucocytosis and elevated c-reactive protein level are considered as markers for CRBSI before blood culture results became available.
Procalcitonin is a valid indicator of sepsis. In this study, Procalcitonin level will be measured in any patient with suspected CRBSI and correlation will be tested for proved CRBSI by blood cultures.
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| Measure | Description | Time Frame |
|---|---|---|
| Procalcitonin Level | Level of serum procalcitonin | 2 minutes after start of fever/chills or other symptoms suggesting CRBSI |
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| Measure | Description | Time Frame |
|---|---|---|
| Blood culture (central and peripheral) results | Blood cultures organism growth results (positive/negative) confirming CRBSI | 5 minutes after start of fever/chills or other symptoms suggesting CRBSI |
| C Reactive Protein |
Inclusion Criteria:
Exclusion Criteria:
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Hemodialysis patients with clinical signs of CRBSI
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| Name | Affiliation | Role |
|---|---|---|
| Mahmoud H Imam, MD | Benha University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New jeddah clinic Hospital | Jeddah | Saudi Arabia |
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Level of C reactive protein
| 2 minutes after start of fever/chills or other symptoms suggesting CRBSI |
| erythrocyte sedimentation rate | erythrocyte sedimentation rate | 2 minutes after start of fever/chills or other symptoms suggesting CRBSI |
| Urea Reduction Rate | Urea Reduction rate | up to 30 days prior to start of fever/chills or other symptoms suggesting CRBSI |
| creatinine | predialysis Serum creatinine | up to 30 days prior to start of fever/chills or other symptoms suggesting CRBSI |
| ferritin | predialysis Serum ferritin | up to 30 days prior to start of fever/chills or other symptoms suggesting CRBSI |
| Hemoglobin | Hemoglobin | up to 30 days prior to start of fever/chills or other symptoms suggesting CRBSI |
| potassium | predialysis serum potassium | up to 30 days prior to start of fever/chills or other symptoms suggesting CRBSI |
| Sodium | predialysis serum sodium | up to 30 days prior to start of fever/chills or other symptoms suggesting CRBSI |