CDC Interventions show sustained success for outpatient hemodialysis
infection prevention
Dear Colleagues:
A new
CDC study shows that decreases to certain bloodstream infection (BSI) rates
can be maintained through the use and implementation of CDC dialysis BSI
prevention tools. The new study reported a 44% drop in access-related
bloodstream infections (ARBSI) and estimated more than 60% of expected ARBSIs
may have been prevented over the four year period among dialysis patients
treated at facilities using the CDC’s
Core Interventions for Dialysis BSI Prevention as part of a collaborative
project.
Collectively known as the CDC
Core Interventions, these tools address
This study followed up with 17
outpatient dialysis facilities that implemented CDC BSI prevention tools as part
of a CDC-initiated infection prevention collaborative.
CDC’s 2013
study of the collaborative reported drops in overall
BSI and ARBSI during the first 15 months of the intervention period.
The present study tracked the progress of these clinics for an additional
33-months into the intervention, referenced as the later intervention period.
Reductions in ARBSI rates continued at dialysis facilities during the “later
intervention” period even after formal collaborative efforts and intensive
technical assistance from CDC ended. These findings show that reduction in
infection rates are both achievable and sustainable up to four years following
adoption of the CDC
Core Interventions. No changes in BSI rates were detected in this study.
For further information on how
dialysis facilities can prevent BSI by following CDC’S Core Intervention,
please visit CDC
Dialysis website and download checklists and observation audit
tools. Additionally, CDC encourages dialysis healthcare providers to
utilize the FREE Continuing Education (CE) course “Infection
Prevention in Dialysis Settings”, which reviews CDC recommended practices
and techniques, in an understandable and applicable format.
Please share this information
broadly with your colleagues and partners. If you have any questions please
feel free to contact me Salimah Mohamed smohamed@cdc.gov
or Kristin Brinsley-Rainisch aof4@cdc.gov for
additional information.
Regards,
Salimah Mohamed
Making Dialysis Safer
Partnership Coordinator