Bacteremia Associated with Hemodialysis Catheters in the Outpatient Chronic Hemodialysis Unit

Infection control data demonstrated an increase in the incidence of primary bacteremia associated with hemodialysis and was reported at a rate of 3.5 per 1,000 dialysis catheter days. The cases were reviewed and found to be consistent with staphylococcus suggesting skin as the source organism. A multidisciplinary task force was created to coordinate review/update policy and procedure for catheter care, staff re-education on principles of catheter dressing care, and staff instruction on proper hand hygiene. Resulting data showed a rate of 1.3 per 1,000 dialysis catheter days.

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This case study is part of the Illinois Hospital Association's annual quality awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim--improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.

Award recipients achieve measurable and meaningful progress in providing care that is:

• Safe
• Timely
• Effective
• Efficient
• Equitable
• Patient-centered

(The Institute of Medicine's six aims for improvement.)