Department of Infection Control and Hospital Epidemiology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Department of Infection Control and Hospital Epidemiology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Am J Infect Control. 2019 Jul;47(7):793-797. doi: 10.1016/j.ajic.2018.12.011. Epub 2019 Feb 6.
The main study aim was to track infections, evaluate performance, and identify opportunities for improved practice since infections, especially those associated with multidrug-resistant organisms, are the second most common cause of death among end-stage renal disease patients.
This study describes the establishment of baseline dialysis event surveillance at a large dialysis center. Every month, the dialysis center staff reported the total number of maintenance hemodialysis patients to the department of infection control and hospital epidemiology. The surveillance system for dialysis events included monthly monitoring of hemodialysis patients in outpatient settings for positive blood cultures, intravenous antimicrobial initiation, and local vascular access infections.
We calculated the pooled mean rates of positive blood cultures, intravenous antimicrobial initiation, and local vascular access infections during the period from June 1, 2014 to September 30, 2017. Results indicated more dialysis events were attributed to the CVC than any other dialysis vascular access. Regardless of vascular access type, intravenous antimicrobial initiation was the most commonly reported dialysis-associated event.
Dialysis events surveillance can be used to produce a decrease in both morbidity and mortality rates in hemodialysis patients.
本研究的主要目的是跟踪感染情况、评估治疗效果，并发现改进治疗方法的机会，因为感染（尤其是与多重耐药菌相关的感染）是导致终末期肾病患者死亡的第二大主要原因。
本研究描述了在一家大型透析中心建立基线透析事件监测系统的情况。每月，透析中心工作人员向感染控制和医院流行病学部门报告维持性血液透析患者的总数。透析事件监测系统包括每月监测门诊血液透析患者的阳性血培养、静脉抗菌药物起始治疗和局部血管通路感染情况。
我们计算了 2014 年 6 月 1 日至 2017 年 9 月 30 日期间阳性血培养、静脉抗菌药物起始治疗和局部血管通路感染的累积平均发生率。结果表明，与任何其他透析血管通路相比，CVC 导致更多的透析事件。无论血管通路类型如何，静脉抗菌药物起始治疗是最常报告的与透析相关的事件。
透析事件监测可用于降低血液透析患者的发病率和死亡率。
