WCN25-2073 A 10-YEAR RETROSPECTIVE STUDY OF OUTCOME IN PATIENTS WITH END-STAGE RENAL FAILURE ON HAEMODIALYSIS WITH CALCIPHYLAXIS

Conclusions: TCC was salvaged due to close involvement of HD team.TCC salvage may be considered in HD patients with limited vascular access and uncomplicated bacteremia.If attempted, systemic antibiotics and an adjunctive antibiotic lock should both be used.Using tri-sodium citrate helps, as anticoagulant, as anti-bacterial and for combining with antibiotic like gentamycin which is not compatible with heparin.Our study showed majority of organisms to be gram negative as against common occurrence of gram positive organisms.Our series had one patient of MRSA, which is not consistent with literature.TCC with infections due to fungi, Burkholderia cepacia, Pseudomonas, Bacillus spp.were also treated and TCC was salvaged, when usual dictum is to remove TCC in such situations.CRBSI due to Micrococcus species, Propionibacteria or mycobacteria were not seen in our series.AV fistula remains the preferred mode of vascular access for HD.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.