Dialysis facilities that participated in a quality improvement initiative developed by the US Centers for Disease Control and Prevention (CDC) reduced bloodstream infections among patients undergoing dialysis by 32% (http://1.usa.gov/10TJaVl).
Researchers from the CDC examined the rates of bloodstream infections among patients at 17 participating outpatient dialysis facilities before and after the implementation of a package of prevention strategies. At participating facilities, the rates of bloodstream infections and staff adherence to hand hygiene were monitored monthly, and catheter-related care was audited quarterly. Results of such monitoring were shared with staff. In addition, use of chlorhexidine before central catheter insertion and reduction in the use of central catheters, when appropriate, were promoted. Patients and clinicians also were educated about infection prevention.
Kuehn BM. Reducing Dialysis-Related Infections. JAMA. 2013;309(24):2542. doi:10.1001/jama.2013.7637