I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: General Discussion => Topic started by: jo on January 07, 2017, 12:42:52 PM
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My mother needs a fistulogram/angioplasty surgery done asap but she has a blood infection right now. The fistula is causing pain because of the narrowing and stopping dialysis. The medical team is thinking about putting a catheter line temporarily until the fistulogram is performed, but they are saying they would have to wait until the infection clears out to do any of the procedures. Can any of these procedures be performed while she has the infection? If not, how many days later should the surgery be performed after the infection clears out of the blood? A quicker response would be appreciated. Thank you.
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Dr may elect to install a cath to do dialysis with and hold off on touching that graph until the antibiotics have a few days to knock the infection back a bit.
If the infection has developed a 'site' within the graph, messing with it could possibly dislodge a clump and allow it to travel through the bloodstream until it gets 'caught', stuck somewhere else. This is sometimes a dangerous thing depending on where it 'lands'.
Waiting while administering strong antibiotics can sometimes be a wise thing.
Ask many questions of an Infection specialist and again of the Vascular Surgeon. The two should get together and come up with a viable plan to handle this.
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Dr may elect to install a cath to do dialysis with and hold off on touching that graph until the antibiotics have a few days to knock the infection back a bit.
If the infection has developed a 'site' within the graph, messing with it could possibly dislodge a clump and allow it to travel through the bloodstream until it gets 'caught', stuck somewhere else. This is sometimes a dangerous thing depending on where it 'lands'.
Waiting while administering strong antibiotics can sometimes be a wise thing.
Ask many questions of an Infection specialist and again of the Vascular Surgeon. The two should get together and come up with a viable plan to handle this.
They found the antibiotic that is susceptible to the infection (Cefazolin). The staph she has right now is staph lugdunensis which seems to be highly virulent. The first infection she had with the same staph was on September and was put on antibiotics for about 6 weeks. Now she got the same staph again. The plan is to put her on the same antibiotic again (Cefazolin) for an other 6 weeks. I am asking lots of questions. They are still not able to find the source of the infection. The foreign objects she has in her body currently is the VWING: https://www.youtube.com/watch?v=O0XR1HxBvIs (the video I sent you earlier) and a stent in her fistula. I am really worried about this. Thanks for sharing your thoughts.
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My re-occurring PD infection was cause for my PD cath to come out. They still waited almost a week. Whether this was a scheduling problem or if planned so as to give the antibiotic time to knock back the amount of infection, I can't rightly say.
If it were I making the decision I would have voted to wait. Opening a body while any raging infection is present could be cause for it to spread into unwanted areas.
However, if this were an absolute necessity and life is in danger of waiting, that would be a whole different thing.