At the same time,

existence of vascular access complicati

At the same time,

existence of vascular access complications during follow-up was evaluated. Results: Increases in PTX3 and hsCRP were not significantly correlated with each other. By multivariable regression models, we found increase of PTX3 is positively correlated to the increases of ADMA (P < 0.001) and oxidized LDL (P < 0.05). Furthermore, none of three patients with high PTX3 (≥10 ng/mL) but all three patients with high hsCRP (≥0.9 mg/dL) developed Roscovitine vascular access complications during the study. Conclusion: We suggested that, unlike hsCRP, the production of PTX3 is strongly positively correlated with oxidative stress and protects from vascular access complications in a 1-year HD cohort. HA PHAN HAI AN1,2, NGUYEN MANH TUONG2, NGUYEN THE CUONG2, TRAN MINH TUAN2, NGUYEN THI THUY2 1Hanoi selleck Medical University, Hanoi, Vietnam; 2Viet Duc University Hospital, Hanoi, Vietnam Introduction: Hepatitis C infection is a common transmissible disease in the world and in Vietnam. This condition can result in severe consequnces such as chronic hepatitis, liver cirrhosis, and liver cancer. The major route of transmission is through blood and blood products. Hemodialysis is a favorable factor for disease transmission due to frequent exposure to blood. Hepatitis C infection is a big challenge for patients receiving maintenance hemodialysis in Vietnam,

it increases the burden, prevalence of complications, and mortality among them.

The aim of this study was to assess the effectiveness of modified priming protocol on Hepatitis C infection rate among patients on maintenance hemodialysis (MHD). Methods: Clinical interventional trial and retrospective study conducted on all adult patients receiving MHD at Dialysis and Kidney Disease Department, Viet Duc Hospital, Hanoi, Vietnam from Jan 2007 to Dec 2012. Data collected during 2 periods using 2 different priming protocols: classical protocol from 2007–2009, modified protocol from 2010–2012. Results: Prevalent rate of HCV infection among patients receiving MHD period 2007–2012 was 32.5%. During this period of observation, the annual prevalent rate did not change significantly, it was 38.2%, 36.0%, 35.3%, 32.7%, 29.1% and 28.5% for year 2007, Selleck Ponatinib 2008, 2009, 2010, 2011, and 2012 respectively. The prevalent rate of HCV in period 2007–2009 did not differ from that of period 2010–2012 (39.6% vs 36.2%, p > 0.05). However, there was a significant reduction of incident rate of HCV infection from 14.0% during period 2007–2009 to 0.9% during period 2010–2012. This reduction was also observed in a group of high risk patients who receive treatment for more than 4 years and reuse HD consumables (10.9% vs 1.8%, p < 0.05). Conclusion: Prevalent rate of HCV infection remained very high during study period but modified priming protocol had positive impact on incident rate of infection.

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