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November 1978

Staphylococcus aureus Carriage Rate of Patients Receiving Long-Term Hemodialysis

Author Affiliations

From the Department of Medicine, Infectious Diseases (Drs Tuazon and Kirmani) and Nephrology (Dr Parrish) Divisions, George Washington University Medical Center, Washington, DC. Dr Murray is now with the Department of Medicine, the New York Hospital-Cornell Medical Center, New York. Dr Sheagren is now with the Veterans Administration Hospital, Ann Arbor, Mich.

Arch Intern Med. 1978;138(11):1657-1659. doi:10.1001/archinte.1978.03630360041019

We studied the carriage rate of Staphylococcus aureus in patients receiving long-term hemodialysis and also noted the incidence of shunt infections, bacteremia, and septicemia in colonized patients. Thirty-one of 50 patients (62%) carried S aureus in the nose, throat, or on the skin, of whom 20 patients developed shunt infections; nine infections resulted in episodes of bacteremia. Patients with chronic renal failure not undergoing hemodialysis had a 21% carriage rate. Thus, there is a high carriage rate of S aureus in asymptomatic patients receiving hemodialysis that is probably related to an increased incidence of shunt infections and bacteremia.

(Arch Intern Med 138:1657-1659, 1978)