Arab journal of nephrology and transplantation最新文献_第4页

Acupuncture efficacy in the treatment of persistent primary nocturnal enuresis. 针刺治疗持续性原发性夜间遗尿的疗效观察。

Arab journal of nephrology and transplantation Pub Date : 2013-09-01

Mohamed Abd El Hakam El Koumi, Saber Al Sayed Ahmed, Ahmed Mohamed Salama

{"title":"Acupuncture efficacy in the treatment of persistent primary nocturnal enuresis.","authors":"Mohamed Abd El Hakam El Koumi, Saber Al Sayed Ahmed, Ahmed Mohamed Salama","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: This study aimed to assess the therapeutic efficacy of traditional Chinese acupuncture in the treatment of persistent primary nocturnal enuresis (PNE).Methods: Fifty children and adolescents suffering from persistent PNE were recruited from the Pediatrics and Urology Outpatient Clinic of Zagazig University Hospital during the year 2010. They included 31 boys and 19 girls, with a mean age of 116 ± years (range 9-17 years). The children and their parents underwent thorough counseling followed by two courses of treatment, each course administered over 10 consecutive days. Patients were instructed to continue regular follow-up, every three months, after starting the therapy. The response rate (cure, improvement, or failure) was monitored by recording dry nights and the number of spontaneous arousals to void per week on a calendar. Children who showed partial or no response after six months of observation received another two courses of acupuncture therapy, and were followed up for a further six months period.Results: After the initial two courses of treatment, the cure rate at six months was 76% with an additional 18% achieving partial improvement. Twelve children needed another two courses of treatment. After one year of follow-up, 92% of patients showed complete cure and 8% showed failure of acupuncture therapy.Conclusion: Acupuncture treatment in patients with PNE appears effective in increasing the percentage of dry nights, with stable results even after the end of treatment courses. Further controlled studies are needed to confirm these results and to elucidate the therapeutic mechanism of acupuncture.Keywords: Acupuncture Therapy; Nocturnal Enuresis; Traditional Medicine.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 3","pages":"173-6"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31748371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dense deposit disease: a 29-years electron microscopy experience. 致密沉积病:29年电镜观察经验。

Arab journal of nephrology and transplantation Pub Date : 2013-09-01

Elham Ibrahim Seif, Eman Abdalssalam Ibrahim, Nadia Galal Elhefnawy, Manal Ibrahim Salman

{"title":"Dense deposit disease: a 29-years electron microscopy experience.","authors":"Elham Ibrahim Seif, Eman Abdalssalam Ibrahim, Nadia Galal Elhefnawy, Manal Ibrahim Salman","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Dense Deposit Disease (DDD) is a devastating renal disease that leads to renal failure within 10 years of diagnosis in about half of affected patients. In this study, we evaluated the relative prevalence and pathological features of DDD diagnosed at our center over a 29 years period.Methods: We reviewed the clinical and pathological features of all cases of DDD diagnosed at the Electron Microscopy Unit of Ain Shams University (ASUSH) between January 1983 and December 2011.Results: From a total of 3283 renal biopsies, 33 (1%) were diagnosed with DDD (10 children and 23 adults). Nephrotic syndrome was the predominant clinical presentation of DDD (51.5%), and was commoner in children than adults (80% vs. 43%, p=0.03). Capillary wall thickening was seen in all cases (100%). Crescents were more commonly seen in children than adults (70% vs. 21.7%, p=0.008) while interstitial fibrosis was more commonly seen in adults (78.3% vs. 40%, p=0.03). The commonest histological pattern seen under light microscopy was membranoproliferative (27.3%), followed by crescentic (21.2%), membranous (21.2%), diffuse proliferative (18.2%), lobular (6.1%) and mesangial proliferative (6.1%) patterns. Immunohistochemistry was available for 25 cases and showed intense linear staining for C3 along capillary walls. Electron microscopic examination revealed glomerular basement membrane (GBM) thickening and intra-membranous and tubular basement membrane deposits in all cases (100%).Conclusion: DDD is a rare disease in Egypt, found in only 1% of renal biopsies. Pathological features of the disease differ between adults and children; children have predominantly glomerular damage whereas tubuleinterstitial lesions are more often encountered in adults.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 3","pages":"153-60"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31748368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute tubulo-interstitial nephritis with positive anti-neutrophil cytoplasmic antibodies. 急性肾小管间质性肾炎伴抗中性粒细胞胞浆抗体阳性。

Arab journal of nephrology and transplantation Pub Date : 2013-09-01

Kawtar Hassani, Amine Mohamed Hamzi, Mohamed Hassani, Mohamed Benyahia

{"title":"Acute tubulo-interstitial nephritis with positive anti-neutrophil cytoplasmic antibodies.","authors":"Kawtar Hassani, Amine Mohamed Hamzi, Mohamed Hassani, Mohamed Benyahia","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis involving the kidney usually comprises pauci-immune, necrotizing glomerulonephritis with crescents. Mononuclear tubulo-interstitial infiltrates are common in ANCA associated vasculitis, but these have usually been described in conjunction with glomerulitis. Acute tubulo-interstitial nephritis (ATIN) is a common cause of acute kidney injury that is most frequently induced by drugs or infections. Idiopathic ATIN has rarely been reported in association with the presence of a positive ANCA. These two entities seem to share a common immunological basis.Case report: We report a 75 years-old male patient who presented with acute kidney injury and his serum tested positive for p-ANCA by indirect immunofluoresence with a titer of 1/320. Testing by ELISA demonstrated anti-myeloperoxidase (MPO) specificity with a level of 28.8 IU/mL. His kidney biopsy showed features of ATIN with no glomerular involvement. Treatment with corticosteroids led to improvement of his kidney function and serology for ANCA became negative. In this case report ATIN seems to be associated with ANCA positivity, in the absence of other obvious causes for the acute tubulo-interstitial insult.Conclusion: ATIN can be associated with positive ANCA without features of renal-limited vasculitis or systemic vasculitis. This can occur in the absence of drug exposure. The outcome in our case was favorable with corticosteroid therapy.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 3","pages":"177-9"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31748372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression in Iraqi hemodialysis patients. 伊拉克血液透析患者的抑郁症。

Arab journal of nephrology and transplantation Pub Date : 2013-09-01

Abdul Raheem Taha Hamody, Ali Kadhim Kareem, Abdul Rasoul Sultan Al-Yasri, Ala Abdul-Hussein Sh Ali

{"title":"Depression in Iraqi hemodialysis patients.","authors":"Abdul Raheem Taha Hamody, Ali Kadhim Kareem, Abdul Rasoul Sultan Al-Yasri, Ala Abdul-Hussein Sh Ali","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Affective disorders, particularly depression, are the commonest and probably the most important psychopathological complication of end stage renal disease (ESRD). Depression has the potential to alter adversely the medical outcome of ESRD patients and the psychological stress can affect patient's adherence to medication regimen. In Iraq as well as many other Arab countries, the true prevalence of depression among ESRD patients is unknown. The objective of this study was to determine the prevalence of depression among a cohort of Iraqi hemodialysis (HD) patients and relate it to their socio-demographic characteristics.Methods: We recruited patients from two HD centers in Baghdad, excluding patients with history of depression or other psychiatric disorders prior to the initiation of HD. The Arabic version of diagnostic and statistical manual of mental disorders fourth edition (DSM-IV) was used to diagnose depression. Beck's Depression Inventory was used to grade its severity. Clinical and laboratory data of the study group were documented and related to the diagnosis of depression.Results: Seventy-five Iraqi patients on maintenance HD were included in the study. Patients' duration on HD ranged from six months to five years. The prevalence of depression among this cohort of HD patients was 80%. The prevalence of severe, moderate and mild depression was 25%, 50% and 25% respectively. The mean depression score was 17.1. Female gender, unemployment, and marital status had statistically significant associations with depression.Conclusion: Depression is common in this group of Iraqi HD patients and its prevalence is comparable to the results of similar studies in other societies.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 3","pages":"169-72"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31748370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DRUG SCENE CHANGES DURING TWO DECADES: SLOVAKIA 1993 – 2012 二十年来毒品场景的变化:斯洛伐克1993 - 2012

Arab journal of nephrology and transplantation Pub Date : 2013-07-12 DOI: 10.19044/esj.2013.v9n21p%p

Alojz Nociar

引用次数: 182

Adherence of healthcare professionals to evidence-based clinical practice guidelines in the management of hemodialysis patients, Khartoum State, Sudan. 医疗保健专业人员在血液透析患者管理中遵守循证临床实践指南，苏丹喀土穆州。

Arab journal of nephrology and transplantation Pub Date : 2013-05-01

Hisham Abdelwahab, Mazin Shigidi, Alyaa El-Tohami, Lamees Ibrahim

{"title":"Adherence of healthcare professionals to evidence-based clinical practice guidelines in the management of hemodialysis patients, Khartoum State, Sudan.","authors":"Hisham Abdelwahab, Mazin Shigidi, Alyaa El-Tohami, Lamees Ibrahim","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Hemodialysis (HD) is a complex procedure with many specifications and requires adherence to a set of particular clinical practice guidelines. These guidelines had already been established by globally acclaimed renal authorities and their implementation was shown to correlate with patients' morbidity and mortality. This study was conducted to evaluate the adherence of healthcare professionals to the evidence-based clinical practice patterns in Khartoum State HD units.Methods: A cross-sectional study was conducted in Khartoum State HD units during the period from September 2010 to January of 2011. Data was collected from the healthcare professionals using a specially designed checklist. The checklist included the evidence-based clinical practice guidelines for the HD vascular access, HD adequacy, anemia of chronic kidney disease (CKD), nutrition, cardiovascular risk assessment, and hepatitis B and C virus infection control. Implementation of these guidelines was evaluated, and further graded using a Likert-type scale.Results: Four randomly selected HD units were included in the study. The rate of implementation of the HD vascular access guidelines was 54.8%, adequacy guidelines 57%, anemia of CKD 68.8%, nutrition 58.4%, cardiovascular risk assessment 57%, and hepatitis B and C infection control guidelines was 79.2%. Overall, the four HD units assessed showed moderate deviations from the practice guidelines of anemia of CKD and hepatitis B and C infection control. Extreme deviations from the clinical practice guidelines were seen in HD vascular access practices, adequacy assessments, nutrition and cardiovascular risk assessment.Conclusion: Hemodialysis services in Khartoum State are in need of great improvements regarding adherence to protocols and the standards of care.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 2","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31415282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology and clinicopathologic outcome of pediatric chronic kidney disease in Nigeria, a single cenetr study. 尼日利亚儿童慢性肾病的流行病学和临床病理结果，一项单中心研究。

Arab journal of nephrology and transplantation Pub Date : 2013-05-01 DOI: 10.4314/AJNT.V6I2

W. Olowu, O. Adefehinti, T. Aladekomo

{"title":"Epidemiology and clinicopathologic outcome of pediatric chronic kidney disease in Nigeria, a single cenetr study.","authors":"W. Olowu, O. Adefehinti, T. Aladekomo","doi":"10.4314/AJNT.V6I2","DOIUrl":"https://doi.org/10.4314/AJNT.V6I2","url":null,"abstract":"Introduction : Due to dearth of data, chronic kidney disease (CKD) outcome in African children has been dismal owing to poor understanding of its etiology, manifestations and management. Methods : We retrospectively analyzed the records of 154 CKD children and adolescents who were managed at Obafemi Awolowo University Teaching Hospitals Complex between 2000 and 2009 to evaluate the epidemiology and clinicopathologic outcome of pediatric CKD in Nigeria. Results : Overall mean incidence was 11 (6-20) per million children population (pmcp)/year while prevalence averaged 48 (8-101) pmcp. There were 86 males (55.8%). Median age was 10.0 (0.2-15.5) years with 83.8% . 5 years old. Etiologies were glomerular disease (GMD, 90.26%), congenital and acquired urinary tract (7.79%) and hereditary disorders (1.95%). CKD stages at diagnosis were 45.5% CKD-1, 22.7% CKD-2, 10.4% CKD-3, 2.6% CKD-4 and 18.8% CKD-5. Median progression time through the CKD stages was 24.0 (3-108) months. Mean dialysis incidence and prevalence were 1 (0-4) pmcp/year and 4 (1-12) pmcp, respectively. Hypertension, heart failure (HF), malnutrition, anemia, acute-on-CKD, need for dialysis, azotemia, hypercreatininemia, and high calcium-phosphorous product (. 55 mg2/dL2) were mortality risk factors. CKD-1 survived significantly better than CKD stages 3-5 (p < 0.05) but not CKD-2 (p=0.1). Hypertensive CKDs without HF survived better (73.0%) than hypertensive CKDs with HF (16.0%) [Hazard ratio (HR): 0.34, 95% CI: 0.14-0.83]. GMD survived better (68.5%) than non-GMD patients (33.0%) [HR: 2.87, 95% CI: 1.16-7.06]. Conclusion : CKD was commoner among school than pre-school age children. GMD was the predominant etiology with better outcome than non-GMD. Comorbidity prevalence increased significantly with increasing severity of CKD stage. Keywords : Chronic Kidney Disease; Glomerular Disease; Mortality Risk Factors; Nigeria","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 1","pages":"105-113"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70472221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Severe tricuspid valve endocarditis related to tunneled catheters in chronic hemodialysis patients: when should the catheter be removed? 慢性血液透析患者与隧道导管相关的严重三尖瓣心内膜炎:何时应拔除导管?

Arab journal of nephrology and transplantation Pub Date : 2013-05-01

Yassamine Bentata, Intissar Haddiya, Nabila Ismailli, Adnane Benzirare, Omar Elmahi, Abderrahim Azzouzi

{"title":"Severe tricuspid valve endocarditis related to tunneled catheters in chronic hemodialysis patients: when should the catheter be removed?","authors":"Yassamine Bentata, Intissar Haddiya, Nabila Ismailli, Adnane Benzirare, Omar Elmahi, Abderrahim Azzouzi","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Hemodialysis (HD) patients are predisposed to infective endocarditis (IE) mainly due to repeated manipulation of the vascular access. However, catheter seeding and IE may also result from a distant infection site.Case series: A diabetic patient who was maintained on regular HD through a permanent catheter in the right internal jugular vein presented with septicemia of urinary origin due to Pseudomonas aeruginosa. He was treated with injectable antibiotics for 15 days. Few days after the end of the treatment period he presented with inflammation of the catheter exit site. Blood cultures revealed Pseudomonas aeruginosa and echocardiography showed a large vegetation on the tricuspid valve, confirming the diagnosis of IE. The patient improved after catheter removal and treatment with ceftazidime, vancomycin and amikacin. Another patient who was maintained on chronic HD through a tunneled catheter in the right internal jugular vein presented with a limited infection in the sub-cutaneous tunnel of the catheter that improved after treatment with injectable antibiotics. Two months later, he presented with severe sepsis without signs of local infection of the catheter. Chest radiography showed right sided infiltrates. Injectable antibiotic therapy was given without improvement. Blood cultures were negative but echocardiography showed a large tricuspid valve vegetation. Antibiotic regimen was modified to include vancomycin, amikacin and ceftazidime and the catheter was removed. Unfortunately, the patient died two days after diagnosing IE.Conclusion: catheter seeding and IE may be a consequence of sepsis originating away from the HD catheter site. Tunneled catheters may need to be preemptively removed in such situations to prevent serious IE.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 2","pages":"115-18"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31415284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology and clinicopathologic outcome of pediatric chronic kidney disease in Nigeria, a single cenetr study. 尼日利亚儿童慢性肾病的流行病学和临床病理结果，一项单中心研究。

Arab journal of nephrology and transplantation Pub Date : 2013-05-01

Wasiu Adekunle Olowu, Olufemi Adefehinti, Theophilus Adesola Aladekomo

{"title":"Epidemiology and clinicopathologic outcome of pediatric chronic kidney disease in Nigeria, a single cenetr study.","authors":"Wasiu Adekunle Olowu, Olufemi Adefehinti, Theophilus Adesola Aladekomo","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Due to dearth of data, chronic kidney disease (CKD) outcome in African children has been dismal owing to poor understanding of its etiology, manifestations and management.Methods: We retrospectively analyzed the records of 154 CKD children and adolescents who were managed at Obafemi Awolowo University Teaching Hospitals Complex between 2000 and 2009 to evaluate the epidemiology and clinicopathologic outcome of pediatric CKD in Nigeria.Results: Overall mean incidence was 11 (6-20) per million children population (pmcp)/year while prevalence averaged 48 (8-101) pmcp. There were 86 males (55.8%). Median age was 10.0 (0.2-15.5) years with 83.8%≥5 years old. Etiologies were glomerular disease (GMD, 90.26%), congenital and acquired urinary tract (7.79%) and hereditary disorders (1.95%). CKD stages at diagnosis were 45.5% CKD-1, 22.7% CKD-2, 10.4% CKD-3, 2.6% CKD-4 and 18.8% CKD-5. Median progression time through the CKD stages was 24.0 (3-108) months. Mean dialysis incidence and prevalence were 1 (0-4) pmcp/year and 4 (1-12) pmcp, respectively. Hypertension, heart failure (HF), malnutrition, anemia, acute-on-CKD, need for dialysis, azotemia, hypercreatininemia, and high calcium-phosphorous product (≥55 mg2/dL2) were mortality risk factors. CKD-1 survived significantly better than CKD stages 3-5 (p<0.05) but not CKD-2 (p=0.1). Hypertensive CKDs without HF survived better (73.0%) than hypertensive CKDs with HF (16.0%) [Hazard ratio (HR): 0.34, 95% CI: 0.14-0.83]. GMD survived better (68.5%) than non-GMD patients (33.0%) [HR: 2.87, 95% CI: 1.16-7.06].Conclusion: CKD was commoner among school than pre-school age children. GMD was the predominant etiology with better outcome than non-GMD. Comorbidity prevalence increased significantly with increasing severity of CKD stage.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 2","pages":"105-13"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31415283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of nurses awareness and practice of hemodialysis access care in Khartoum state, Sudan. 喀土穆州护士对血液透析可及性护理的认识和实践评价。

Arab journal of nephrology and transplantation Pub Date : 2013-05-01

Suhair Abdelsatir

{"title":"Evaluation of nurses awareness and practice of hemodialysis access care in Khartoum state, Sudan.","authors":"Suhair Abdelsatir","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: In hemodialysis (HD) wards, nurses play a pivotal role in HD access care. Unfortunately, guideline recommendations for routine preventive care are not always followed. This study was designed to evaluate nurses' awareness and practice of HD access care in Khartoum state, Sudan.Methods: The study included 50 randomly selected HD nurses. Nurses' knowledge was evaluated using a participant-filled questionnaire and their practice was evaluated by direct monitoring. Variables were summarized as frequencies and related to nurses' educational level.Results: Females constituted 72% of study participants and 85% were university graduates. Half the nurses had more than two years experience in HD centers. Structured training on HD machines and HD access care was received by 56% and 54% of respondents respectively. All participants stated that proper HD access care helps prevent access infection but only 54% stated that it helps in preserving access function. Most nurses (98%) stated that hand hygiene in HD centers was necessary to prevent infection but only 70% were adherent to hand hygiene before access manipulation. Most nurses (98%) evaluated HD access function before connection but only 52% evaluated it for signs of infection. Nurses with a bachelor degree tended to be more adherent to hand hygiene (72.5 versus 42.9%, P=0.1) and the use of gloves (100% versus 85.7%, P=0.1) compared to nurses with a diploma degree, but the difference was not statistically significant.Conclusion: HD nurses adherence to the recommended infection control measures in studied HD centers was suboptimal. HD centers are required to organize adequate training on HD access care for their nursing staff.","PeriodicalId":89079,"journal":{"name":"Arab journal of nephrology and transplantation","volume":"6 2","pages":"119-21"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31416841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0