Reduction in Staphylococcus aureus bacteraemia rates in patients receiving haemodialysis following alteration of skin antisepsis procedures
Summary This study examined all cases of Staphylococcus aureus bacteraemia (SAB) in the haemodialysis cohort at the Royal Darwin Hospital, Australia over a seven-year period. Midway through this period, antisepsis for arteriovenous fistulae (AVF) and central venous catheters (CVC) changed from 0.5%...
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Published in | The Journal of hospital infection Vol. 92; no. 2; pp. 191 - 193 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.02.2016
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Abstract | Summary This study examined all cases of Staphylococcus aureus bacteraemia (SAB) in the haemodialysis cohort at the Royal Darwin Hospital, Australia over a seven-year period. Midway through this period, antisepsis for arteriovenous fistulae (AVF) and central venous catheters (CVC) changed from 0.5% chlorhexidine solution to 2% chlorhexidine solution. Rates of SAB episodes were calculated using registry data. Trends in SAB over time were analysed using an interrupted regression analysis. Following the change to 2% chlorhexidine, average SAB rates decreased by 68%, and it is estimated that 0.111 cases of SAB/patient-year were prevented. CVC-related SAB rates remained low throughout. These results support the use of 2% chlorhexidine in skin antisepsis for patients with AVF. |
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AbstractList | This study examined all cases of Staphylococcus aureus bacteraemia (SAB) in the haemodialysis cohort at the Royal Darwin Hospital, Australia over a seven-year period. Midway through this period, antisepsis for arteriovenous fistulae (AVF) and central venous catheters (CVC) changed from 0.5% chlorhexidine solution to 2% chlorhexidine solution. Rates of SAB episodes were calculated using registry data. Trends in SAB over time were analysed using an interrupted regression analysis. Following the change to 2% chlorhexidine, average SAB rates decreased by 68%, and it is estimated that 0.111 cases of SAB/patient-year were prevented. CVC-related SAB rates remained low throughout. These results support the use of 2% chlorhexidine in skin antisepsis for patients with AVF. References This study examined all cases of Staphylococcus aureus bacteraemia (SAB) in the haemodialysis cohort at the Royal Darwin Hospital, Australia over a seven-year period. Midway through this period, antisepsis for arteriovenous fistulae (AVF) and central venous catheters (CVC) changed from 0.5% chlorhexidine solution to 2% chlorhexidine solution. Rates of SAB episodes were calculated using registry data. Trends in SAB over time were analysed using an interrupted regression analysis. Following the change to 2% chlorhexidine, average SAB rates decreased by 68%, and it is estimated that 0.111 cases of SAB/patient-year were prevented. CVC-related SAB rates remained low throughout. These results support the use of 2% chlorhexidine in skin antisepsis for patients with AVF. Summary This study examined all cases of Staphylococcus aureus bacteraemia (SAB) in the haemodialysis cohort at the Royal Darwin Hospital, Australia over a seven-year period. Midway through this period, antisepsis for arteriovenous fistulae (AVF) and central venous catheters (CVC) changed from 0.5% chlorhexidine solution to 2% chlorhexidine solution. Rates of SAB episodes were calculated using registry data. Trends in SAB over time were analysed using an interrupted regression analysis. Following the change to 2% chlorhexidine, average SAB rates decreased by 68%, and it is estimated that 0.111 cases of SAB/patient-year were prevented. CVC-related SAB rates remained low throughout. These results support the use of 2% chlorhexidine in skin antisepsis for patients with AVF. |
Author | Stewart, B.J Tong, S.Y.C Gardiner, T Perry, G.J |
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CitedBy_id | crossref_primary_10_1016_j_infpip_2020_100037 crossref_primary_10_1016_j_jhin_2021_05_004 crossref_primary_10_1155_2017_5490963 crossref_primary_10_1093_ofid_ofaa472 crossref_primary_10_1080_23744235_2018_1501513 crossref_primary_10_1097_MCC_0000000000000754 crossref_primary_10_1007_s00134_016_4490_5 |
Cites_doi | 10.2215/CJN.01590309 10.1038/nrneph.2011.28 10.1053/j.ajkd.2013.03.011 10.1159/000360034 10.1681/ASN.2012070643 10.1186/1471-2334-12-249 10.1046/j.1365-2710.2002.00430.x 10.1186/s12879-014-0740-8 |
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Keywords | Central venous catheter Arteriovenous fistula Chlorhexidine Haemodialysis ANZDATA Staphylococcus aureus |
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Impact of ethnicity and socioeconomic status on Staphylococcus aureus bacteraemia incidence and mortality: a heavy burden in indigenous Australians publication-title: BMC Infect Dis doi: 10.1186/1471-2334-12-249 contributor: fullname: Tong – year: 2013 ident: 10.1016/j.jhin.2015.10.022_bib6 contributor: fullname: Centers for Disease Control and Prevention – volume: 27 start-page: 299 year: 2002 ident: 10.1016/j.jhin.2015.10.022_bib8 article-title: Segmented regression analysis of interrupted time series studies in medication use research publication-title: J Clin Pharm Ther doi: 10.1046/j.1365-2710.2002.00430.x contributor: fullname: Wagner – volume: 15 start-page: 6 year: 2015 ident: 10.1016/j.jhin.2015.10.022_bib11 article-title: Risk and prognosis of Staphylococcus aureus bacteremia among individuals with and without end-stage renal disease: a Danish, population-based cohort study publication-title: BMC Infect Dis doi: 10.1186/s12879-014-0740-8 contributor: fullname: Nielsen |
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Snippet | Summary This study examined all cases of Staphylococcus aureus bacteraemia (SAB) in the haemodialysis cohort at the Royal Darwin Hospital, Australia over a... This study examined all cases of Staphylococcus aureus bacteraemia (SAB) in the haemodialysis cohort at the Royal Darwin Hospital, Australia over a seven-year... |
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SubjectTerms | Anti-Infective Agents, Local - administration & dosage Antisepsis - methods ANZDATA Arteriovenous fistula Australia - epidemiology Bacteremia - epidemiology Bacteremia - microbiology Bacteremia - prevention & control Catheter-Related Infections - epidemiology Catheter-Related Infections - microbiology Catheter-Related Infections - prevention & control Central venous catheter Chlorhexidine Chlorhexidine - administration & dosage Haemodialysis Hospitals Humans Infectious Disease Renal Dialysis - adverse effects Retrospective Studies Skin - microbiology Staphylococcal Infections - epidemiology Staphylococcal Infections - microbiology Staphylococcal Infections - prevention & control Staphylococcus aureus Staphylococcus aureus - isolation & purification |
Title | Reduction in Staphylococcus aureus bacteraemia rates in patients receiving haemodialysis following alteration of skin antisepsis procedures |
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