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Reduction in hemodialysis catheter-related bloodstream infections after implementation of a novel care program.
Lee, Kai-Ni; Chen, Chien-An; Wu, Chia-Hui; Yang, Li-Yu.
Afiliação
  • Lee KN; Graduate Institute of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
  • Chen CA; Department of Nephrology, Tainan Sinlau Hospital, Tainan, Taiwan.
  • Wu CH; Department of Nephrology, Tainan Sinlau Hospital, Tainan, Taiwan.
  • Yang LY; Department of Health Care Administration, Chang Jung Christian University, Tainan, Taiwan.
Hemodial Int ; 26(3): 308-313, 2022 07.
Article em En | MEDLINE | ID: mdl-35499673
ABSTRACT

BACKGROUND:

Catheter-related bloodstream infection (CRBSI) due to dialysis is the major factor causing morbidity and mortality factor for patients undergoing hemodialysis and is associated with additional costs for these patients. This study investigated the effect of a novel care program in terms of reducing CRBSIs for hemodialysis patients with nontunneled (temporary) catheters inserted in their femoral veins.

METHODS:

This study included dialysis patients (inpatients and outpatients) from July 2018 to September 2019, covering two periods, pre-intervention (baseline period) and intervention with a novel care program (novel care period). The novel care program was initiated on December 1, 2018. The CRBSI rates (/1000 catheter-days) for the baseline and novel care periods were compared, and the characteristics of the pathogens were determined.

FINDINGS:

Of a total of 72 patients, 33 were from the baseline period and 39 were from the novel care period. Patients in the baseline and novel care periods had the catheter inserted in their femoral veins for a median of 20 and 29 days, respectively. The CRBSI rate decreased by 82.63%, from 8.52/1000 catheter-days in the baseline period to 1.48/1000 catheter-days in the novel care period (p = 0.036). The most common organisms involved in CRBSIs were coagulase-negative staphylococcus and Burkholderia cepacia (26% for both).

DISCUSSION:

The novel care program reduced the incidence of CRBSIs in patients with temporary catheters inserted in their femoral veins.
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Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Bacteriemia / Sepse / Infecções Relacionadas a Cateter / Cateteres Venosos Centrais Tipo de estudo: Etiology_studies / Incidence_studies / Prognostic_studies / Sysrev_observational_studies Limite: Humans Idioma: En Revista: Hemodial Int Assunto da revista: NEFROLOGIA / TERAPEUTICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Taiwan

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Bacteriemia / Sepse / Infecções Relacionadas a Cateter / Cateteres Venosos Centrais Tipo de estudo: Etiology_studies / Incidence_studies / Prognostic_studies / Sysrev_observational_studies Limite: Humans Idioma: En Revista: Hemodial Int Assunto da revista: NEFROLOGIA / TERAPEUTICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Taiwan