CDC Interventions show sustained success for outpatient hemodialysis infection prevention
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
- Feedback and Surveillance through the National Healthcare Safety Network (NHSN)
- Hand hygiene observations using CDC audit tools,
- Staff and Patient Education,
- Dialysis catheter hub disinfection, known as “Scrub the Hub”,
- Catheter Reduction
- Catheter/Vascular access care observations using CDC Dialysis audit tools, and
- Chlorhexidine and Antimicrobial ointment use for catheter exit site care.
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 firstname.lastname@example.org or Kristin Brinsley-Rainisch email@example.com for additional information.
Making Dialysis Safer Partnership Coordinator