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. 2024 Nov 24;12(12):301.
doi: 10.3390/diseases12120301.

The Impact of the Dialysis Event Prevention Bundle on the Reduction in Dialysis Event Rate in Patients with Catheters: A Retrospective and Prospective Cohort Study

Reem Hamed AlHulays  1 , Amany A Ghazy  2 , Ahmed E Taha  2   3
Affiliations

The Impact of the Dialysis Event Prevention Bundle on the Reduction in Dialysis Event Rate in Patients with Catheters: A Retrospective and Prospective Cohort Study

Reem Hamed AlHulays et al. Diseases. .

Abstract

Background: Dialysis-associated events such as bloodstream infections represent serious complications for hemodialysis patients, with the potential to increase morbidity and mortality. Aims: To assess the impact of implementing a comprehensive bundle of evidence-based practice on reducing dialysis event rates among catheter dialysis patients at Prince Mansour Military Hospital Dialysis Center. Participants and Methods: The study enrolled 111 hemodialysis participants. A comprehensive dialysis event prevention bundle consisting of 6 key components was implemented. Results: Implementation of the dialysis event prevention bundle showed a significant decrease in IV antimicrobial start (p = 0.003), positive blood culture (p = 0.039), and inflammation at the vascular access site eliminated (p = 0.004). There was a positive correlation between IV antimicrobial start and both patients' age (p = 0.005) and the permanent catheter site (p = 0.002). Positive blood culture was significantly correlated with comorbidities (p = 0.000) and patients' age (p = 0.320). A positive correlation between pus, redness, or increased swelling at the vascular access site with comorbidities (p = 0.034), patients' age (p = 0.021), and the permanent catheter site (p = 0.002) was observed. Staff compliance with the dialysis event prevention bundle components has improved regarding hemodialysis catheter disconnection, catheter exit site care, and routine disinfection. Conclusions: Implementation of a comprehensive dialysis event prevention bundle can effectively reduce dialysis event rates and enhance patient safety.

Keywords: CRBSI; dialysis event; dialysis event prevention bundle; hemodialysis.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
The six components of the dialysis event prevention bundles.
Figure 2
Figure 2
Percentage of Gram-negative and positive bacteria for pre- and post-implementation period.
Figure 3
Figure 3
Dialysis events rate by month.
Figure 4
Figure 4
Percentage of staff compliance to dialysis event prevention bundle.
See this image and copyright information in PMC

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References

    1. Mousa D., Alharbi A., Helal I., Al-Homrany M., Alhujaili F., Alhweish A., Marie M.A., Al Sayyari A. Prevalence and Associated Factors of Chronic Kidney Disease among Relatives of Hemodialysis Patients in Saudi Arabia. Kidney Int. Rep. 2021;6:817–820. doi: 10.1016/j.ekir.2020.12.029. - DOI - PMC - PubMed
    1. Nguyen D.B., Arduino M.J., Patel P.R. Hemodialysis-Associated Infections. Chronic Kidney Dis. Dial. Transplant. 2019:389–410.e8. doi: 10.1016/B978-0-323-52978-5.00025-2. - DOI
    1. Suri R.S., Larive B., Sherer S., Eggers P., Gassman J., James S.H., Lindsay R.M., Lockridge R.S., Ornt D.B., Rocco M.V., et al. Risk of vascular access complications with frequent hemodialysis. J. Am. Soc. Nephrol. 2013;24:498–505. doi: 10.1681/ASN.2012060595. - DOI - PMC - PubMed
    1. Center for Disease Control and Prevention NHSN Dialysis Event Surveillance Protocol. [(accessed on 1 January 2024)]; Available online: https://www.cdc.gov/nhsn/pdfs/pscmanual/8pscdialysiseventcurrent.pdf.
    1. Center for Disease Control and Prevention Audit Tools and Checklists for Dialysis Safety. [(accessed on 1 January 2023)]; Available online: https://www.cdc.gov/dialysis-safety/hcp/tools/index.html.

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