Access-related infections in two haemodialysis units: results of a nine-year intervention and surveillance program

Access-related infections are a major cause of morbidity and mortality in haemodialysis patients. Our goal was to decrease the rate of these infections by implementing an intervention and surveillance program. This intervention took place in two haemodialysis units (Units A and B) and was a joint ef...

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Bibliographic Details
Published in:Antimicrobial resistance & infection control 2019-06, Vol.8 (1), p.105-105, Article 105
Main Authors: Gork, Ittamar, Gross, Ilana, Cohen, Matan J, Schwartz, Carmela, Moses, Allon E, Elhalel, Michal Dranitzki, Benenson, Shmuel
Format: Article
Language:English
Subjects:
Access-related infections
Arteriovenous fistula
Catheters
Checklist
Disease control
Drug resistance
Fistulas
Haemodialysis
Health aspects
Hemodialysis
Infection
Intervention
Morbidity
Mortality
Regression analysis
Surveillance
Systematic review
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Summary:Access-related infections are a major cause of morbidity and mortality in haemodialysis patients. Our goal was to decrease the rate of these infections by implementing an intervention and surveillance program. This intervention took place in two haemodialysis units (Units A and B) and was a joint effort by the haemodialysis staff and the unit for infection prevention and control. It included reviewing the work methods and work space, observations on compliance with standard precautions and handling of the vascular access, creating a checklist and a designated kit for handling the vascular access and prospective surveillance of access-related infections. During a nine-year period, the haemodialysis units A and B treated 4471 and 7547 patients (mean number of patients per year: 497 (range 435-556) and 839 (range 777-1055), respectively). For most patients, the procedure was done through an arteriovenous fistula (66.7%, range 50.3-81.5%). The access-related infection rate decreased significantly in both haemodialysis units: from 3 to 0.9% (trend:  
ISSN:2047-2994
2047-2994
DOI:10.1186/s13756-019-0557-8