Meticulous catheter care and aseptic approach reduce catheter-related bloodstream infections significantly in hemodialysis patients: A 5-year single center study.

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العنوان:	Meticulous catheter care and aseptic approach reduce catheter-related bloodstream infections significantly in hemodialysis patients: A 5-year single center study.
المؤلفون:	Mai YF; Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China., Cui LW; Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China., Wang G; Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China., Tan QZ; Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China., Xian SF; Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China., Pai P; Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China.; Department of Medicine, University of Hong Kong, Li Ka Shing Faculty of Medicine, Hong Kong.
المصدر:	The journal of vascular access [J Vasc Access] 2024 May 27, pp. 11297298241251507. Date of Electronic Publication: 2024 May 27.
Publication Model:	Ahead of Print
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Sage Publications Country of Publication: United States NLM ID: 100940729 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6032 (Electronic) Linking ISSN: 11297298 NLM ISO Abbreviation: J Vasc Access Subsets: MEDLINE
أسماء مطبوعة:	Publication: 2018- : Thousand Oaks, CA : Sage Publications Original Publication: Milano ; Birmingham : Wichtig, c2000-
مستخلص:	Aim: The use of central venous catheters as hemodialysis vascular access is a major contributor to high bloodstream infection rate. In our dialysis unit in Shenzhen Guangdong Province China, we have developed and used our own dialysis catheter care protocol since May 2013 with good results. In this study, we would like to share our experience with the other units. Methods: We have undertaken a 5-year retrospective analysis to determine our tunneled dialysis catheter-related blood stream infection rate by adding the number of infections divided by total number of catheter days × 1000. The results were compared with another study carried out in Henan Province China. Demographic data were summarized using descriptive statistics. Continuous and categorical variables were compared using t -test and χ ² test respectively. Results: Between 2017 and 2021, a total of 216 tunneled dialysis catheters were managed by following our own dialysis access pathway and catheter care protocol. The tunneled dialysis catheter-related bloodstream infection rate was 0.0229 per 1000 catheter days in the 5-year period. Conclusion: Comparing with other published studies in China, our unit has achieved a very low rate of tunneled dialysis catheter-related bloodstream infection which has been sustained over time. This paper explores how our protocol and implementation might have contributed to the results. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Ethical approvalThe Medical Ethics Committee of HKU-SZH has approved the conduct of this retrospective study but the need for patient consent has been waived as many of the patients could not be traced and because the study focuses on the effectiveness of a local care protocol with no commercial interest. No identifiable information of the study subjects have been presented.
فهرسة مساهمة:	Keywords: China; Tunneled catheters; care protocol; hemodialysis; infection
تواريخ الأحداث:	Date Created: 20240527 Latest Revision: 20240527
رمز التحديث:	20240527
DOI:	10.1177/11297298241251507
PMID:	38800939
قاعدة البيانات:	MEDLINE

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تدمد:	1724-6032
DOI:	10.1177/11297298241251507