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Niki Oustabasidou, RN, MSc

Head Nurse, Dialysis Unit, Univ. Hospital of Larisa, University Hospital of Larisa, Larisa, Greece

Niki Oustabasidou has extensive experience in Dialysis through active participation in improving patient outcome by research and entrepreneurship.

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Risk Reduction Track

F101 – Oral Abstract Presentations (F101)

Can Zero Catheter Related Bloodstream Infections Be Achieved with Acute Dialysis Catheters?

calendar9/8/2014

clock2:45 PM - 3:00 PM

clockRoom: Potomac 1-2

CE Hours: 1.2 per four (4) 15-minute sessions


Niki Oustabasidou, RN, MSc

Head Nurse, Dialysis Unit, Univ. Hospital of Larisa, University Hospital of Larisa, Larisa, Greece

Background and purpose: Acute dialysis catheters have always been considered high risk but unavoidable devices for patient treatment. Infectious complications have been one of the most important issues, and have been reported to be between 3.18 infections/1.000 catheter days and 4.8 infection/1.000 catheter days . Dialysis catheter management should follow the guidelines of CDC guidelines published in 2011 . Project description: Our unit integrated, in 2012, an antiseptic/antimicrobial (CHX/SSD) coated catheter, maximal sterile barrier pack in order to follow correct placement protocol. We integrated coated catheters as proposed from guidelines, utilized maximal protective measures, reduced placement technique variation and ultimately, subconsciously, educated staff on proper vascular access techniques. No other process (maintenance, etc.) was modified during this implementation. Results: Catheter infection rates were measured between Jan and Nov 2013 and were found to be 0.91 infections per 1.000 catheter days, significantly lower than the recorded averages worldwide and lower than in previous years. Infections were zero for 9 out of 11 months during the monitoring phase. Implications: Improvement of patient care was to be improved and results indicate such an improvement, throughout the control period. Conclusion: Infection rates of zero can be achieved for several months, provided that a dialysis unit follows guidelines, and should be the focus for future use in all dialysis units. Near zero infection rates significantly reduce cost of care and above all increase quality of care and patient satisfaction. Discussion: A larger scale, multicenter study could provide adequate evidence of mortality and cost reduction in order to support generalized implementation of these measures throughout dialysis units in Greece.

Learning Objectives:

  • Understand the importance of correct catheter selection.
  • Understand the effect of correct strategy in infection prevention in dialysis access.
  • Recognize the importance of correct processes in dialysis access.

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