| Title
of the article |
Dialysis Surveillance Report: National Healthcare Safety Network (NHSN)-data summary for 2006. |
| Authors |
Klevens RM, Edwards JR, Andrus ML, Peterson KD, Dudeck MA, Horan TC. |
| Journal
|
Semin Dial 2008;21(1):24-28. |
| Subject
Consultant |
F. Garcia Lopez |
| Score
(1 to 3 stars) |
** |
| Comments |
CDC’s National Healthcare Safety Network (NHSN) is a dialysis surveillance system for bloodstream and vascular access infections in outpatient haemodialysis centers in the United States. Information is entered every month by dialysis staff. In this report, thirty-two centres providing outpatient haemodialysis reported data in 2006. The pooled mean rate of hospitalization ranged from 7.7 per 100 patient-months among patients with fistulas to 9.2 among patients with grafts to 15.7 among patients with permanent central venous catheters and to 34.7 per 100 patient-months among patients with temporary central lines. For bloodstream infection the pooled mean rates were 0.5, 0.9, 4.2, and 27.1 per 100 patient-months in these groups, respectively. Although patients with central lines contributed 26% of the total follow-up time and patients with fistulas or grafts contributed 68%, 77% of bloodstream infections represented access associated bloodstream infections in patients with central lines and 23% in patients with fistulas or grafts. Although the number of facilities providing data to this report is so small as to reduce its external validity, this article quantifies the burden of vascular access-related infections in outpatient dialysis units. |
