Interventions included chlorhexidine use, staff training, and audits
WEDNESDAY, May 15 (HealthDay News) -- A set of interventions at dialysis facilities substantially reduces the rate of bloodstream infections, according to a study published online May 15 in the American Journal of Kidney Diseases.
Priti R. Patel, M.D., M.P.H., from the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues compared the rate of bloodstream infections at 17 outpatient hemodialysis facilities before and after implementation of an intervention that included chlorhexidine use for catheter care, staff training, and audits.
Compared with up to 12 months pre-intervention, the researchers found that there was a significant reduction in bloodstream infections in the 15 months after the intervention. Per 100 patient-months, pooled mean bloodstream infection rates fell from 1.09 to 0.89, while vascular access-related bloodstream infection rates fell from 0.73 to 0.42. There was a 32 percent decrease in overall bloodstream infections and a 54 percent decrease in vascular access-related bloodstream infections.
"Facilities participating in a collaborative successfully decreased their bloodstream infections and access-related bloodstream infections rates," Patel and colleagues conclude.
Abstract (http://www.ajkd.org/article/S0272-6386(13)00667-7/abstract )Full Text (subscription or payment may be required) (http://www.ajkd.org/article/S0272-6386(13)00667-7/fulltext )