Abstract
Infectious complications in maintenance hemodialysis patients will be divided into two categories; (1)those related to pathophysiology of underlying end stage renal diseases which required hemodialysis and (2)those related directly to hemodialysis procedures per se. Maintenance hemodialysis patients are compromised hosts affected by immunological deficiencies most likely due to decreased cellular immunity. This condition is greatly influenced by degrees of chronic anemia, malnutrition and metabolic abnormalities.Clinical data reveal that maintenance hemodialysis patients show a high incidence of infection and most common type of infections are those related to the blood access devices, pulmonary and urinary tracts, which often result in the cause of death.