Navigation Links
CDC Guidelines Could Cut Bloodstream Infections From Dialysis
Date:5/14/2013

TUESDAY, May 14 (HealthDay News) -- Dialysis facilities could cut bloodstream infection rates among their patients by up to half by following a set of recommendations from the U.S. Centers for Disease Control and Prevention, according to new research.

The CDC suggested that adopting their protocols could save lives and reduce health care costs.

"Dialysis patients often have multiple health concerns, and the last thing they need is a bloodstream infection from dialysis," CDC director Dr. Tom Frieden said in an agency news release. "These infections are preventable. CDC has simple tools that dialysis facilities can use to help ensure patients have access to the safe health care they deserve."

In 2010 alone, more than 380,000 people in the United States required hemodialysis for end-stage kidney disease. In the majority of patients, this treatment is started with a central line, which is a tube that a doctor usually places in a large vein in the neck or chest. The researchers noted, however, if a central line is not placed correctly or kept clean, it can provide a portal for germs to infect the body and the blood.

Although other forms of vascular access used for hemodialysis -- such as arteriovenous fistulas and grafts -- are less risky than central lines, they can also result in bloodstream infections, the experts noted.

Over the past two decades, the rate of hospitalization for bloodstream infections has increased 51 percent. The researchers pointed out that dialysis patients are more than 100 times more likely to get a potentially deadly bloodstream infection from a common resistant bacteria, methicillin-resistant Staphylococcus aureus.

To address this growing public health issue, in April 2009, the CDC invited outpatient dialysis centers to participate in a collaborative project aimed at preventing bloodstream infections among dialysis patients.

Among the CDC's guidelines:

  • Use the skin antiseptic chlorhexidine for catheter exit-site care.
  • Conduct staff training and competency assessments, specifically on catheter care and aseptic technique.
  • Perform hand hygiene and vascular access care audits.
  • Provide feedback to staff on infection and adherence rates.
  • Use antimicrobial ointment on central line exit sites

In conducting the study, researchers analyzed data compiled from 17 outpatient dialysis facilities by the National Healthcare Safety Network. The investigators compared infection rates before and after a set of protocols from the CDC were consistently used.

Following the CDC protocols resulted in a 32 percent reduction in overall bloodstream infections and a 54 percent decrease in vascular access-related bloodstream infections (those related to devices used to access the bloodstream for hemodialysis).

"Dialysis patients are particularly vulnerable to infections," Dr. Priti Patel, head of CDC's dialysis safety efforts, said in the CDC news release. "We now know it is possible to significantly reduce the infections among dialysis patients by following CDC's checklists and tools. If all dialysis facilities nationwide were using the CDC interventions, we could see dramatic reductions in infections and adverse outcomes in this population."

Roughly 37,000 bloodstream infections develop each year among dialysis patients with central lines. It's estimated these infections cost $23,000 per hospitalization.

The U.S. Department of Health and Human Services has made the prevention of bloodstream infections among dialysis patients a national priority. The dialysis facilities involved in the study tracked the bloodstream infections that developed in their patients. The data compiled in the CDC's National Healthcare Safety Network is now also used by more than 5,000 dialysis facilities nationwide to track and prevent health care-related infections.

The CDC's guidelines can be implemented in dialysis facilities through a series of checklists and using audit tools available on the CDC's website. The CDC also offers a one-hour online training course on infection prevention for dialysis nurses and technicians. This course also offers continuing education credits.

The study was published in the current issue of the American Journal of Kidney Diseases.

More information

The U.S. National Library of Medicine has more about dialysis.

-- Mary Elizabeth Dallas

SOURCE: U.S. Centers for Disease Control and Prevention, news release, May 13, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New Guidelines Say Doctors Should Screen All Adults for Risky Drinking
2. Fresh Healthy Vending Supports Washington State New Guidelines for Healthier Vending
3. New, essential Guidelines for decision-making on treatment and end-of-life care
4. New Canadian guidelines for treating fibromyalgia
5. Pediatricians Endorse New Acne Treatment Guidelines
6. Most Docs Dont Follow ADHD Treatment Guidelines for Preschoolers: Study
7. Urologists Group Issues Updated Guidelines on PSA Test
8. 90% of Pediatric Specialists Not Following Clinical Guidelines When Treating Preschoolers with ADHD
9. 90 percent of pediatric specialists not following clinical guidelines when treating preschoolers with ADHD
10. CPR hands-only guidelines may not be best for rural areas
11. ATS publishes clinical practice guidelines on exercise-induced bronchoconstriction
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
CDC Guidelines Could Cut Bloodstream Infections From Dialysis
(Date:9/26/2017)... (PRWEB) , ... September 26, ... ... A Guide for Drug and Device Manufacturers, **An FDAnews Management Report**, ... of equipment qualification. , Manufacturers must prove that their equipment, operations ...
(Date:9/26/2017)... ... September 26, 2017 , ... Autism ... in Northern Colorado. Aspire Autism, A Division of Autism Learning Partners, will be ... services. Aspire provides center based Autism services in Broomfield and will continue to ...
(Date:9/26/2017)... ... 26, 2017 , ... “How to Live in the Millennium”: a gripping take on how ... no longer a part of everyday life and do not affect daily choices. It ... for the thoughts, words, and actions that are chosen. “How to Live in the ...
(Date:9/26/2017)... ... September 26, 2017 , ... “Childhood Memories of a Virginia Wanderer”: ... and help them relive their own youth. “Childhood Memories of a Virginia Wanderer” is ... US Navy for nine years. He received his BS from Idaho State University ...
(Date:9/26/2017)... ... , ... “The Great Creator Saves Boobie and Ceebie”: a tool families can use to teach ... the creation of published author, G.S. White, a devoted follower of Jesus Chris who is ... , “This book is not only for children but also to glorified God in everything ...
Breaking Medicine News(10 mins):
(Date:9/23/2017)... Sept. 22, 2017 Janssen Biotech, Inc. (Janssen) ... letter from the U.S. Food and Drug Administration (FDA) ... sirukumab for the treatment of moderately to severely active ... clinical data are needed to further evaluate the safety ... active RA. ...
(Date:9/19/2017)...   ZirMed Inc ., a recognized leader in cloud-based ... has been ranked #1 by its users for the seventh ... User Survey. ZirMed was recognized as the top-ranked end-to-end revenue ... centers over 200 beds and holds one of the longest ... history. ...
(Date:9/12/2017)... YORK , Sept. 12, 2017   EcoVadis , the leading ... has published the first annual edition of its Global CSR Risk and ... companies evaluated by EcoVadis, based on Scorecard Ratings that analyzed nearly 800,000 ... ... Index ...
Breaking Medicine Technology: