- Title
- Does good hygiene compliance reduce catheter-related blood stream infection?: A single centre experience
- Creator
- Chu, Ginger; Adams, Kelly; Fogarty, Gemma; Holliday, Liz
- Relation
- Renal Society of Australasia Journal Vol. 14, Issue 2, p. 65-69
- Relation
- https://www.renalsociety.org/journal/volume-14-no-2
- Publisher
- Renal Society of Australasia
- Resource Type
- journal article
- Date
- 2018
- Description
- Background: In Australia, more than 50% of end-stage kidney disease patients start haemodialysis treatment with a central venous catheter (CVC). While there are benefits of CVC access, they are associated with a high risk of bacteraemia infection. National guidelines for prevention of catheter-related infections advocate the importance of hand hygiene and asepsis practices, and for this reason, many dialysis units have regular auditing on hand hygiene and aseptic technique. Aim: To report the relationship between hygiene audit results and infection rates in our facility. Method: A hygiene audit tool was developed with 17 hygiene measures, categorised into three domains: environment, aseptic technique, and dressing care. This tool was used to observe nursing staff's hand hygiene compliance and aseptic technique during CVC care across five regional and remote units. Audit results were collected from 2011 to 2015. Results: A total of 350 audits were analysed, and the overall hygiene compliance was consistently high (85-99%). The relationship between mean hygiene score and infection rates was negative and the association was non-significant (p=0.7). Conclusion: The overall infection rates have decreased in our facility, by an average of 76% across sites. The decrease in infection was correlated to interventions such as minimising catheter utilisation, implementation of antimicrobial dressings and streamlining protocols but not hygiene audit results. Good hygiene is fundamental in the care of a CVC; however, whilst all facilities should strive for excellent audit results, it should not be the sole focus to prevent catheter infection.
- Subject
- dialysis; catheter infection; renal; infection; hygiene; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1450857
- Identifier
- uon:44034
- Identifier
- ISSN:1832-3804
- Language
- eng
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