Hemodialysis CLABSI systematic review
Central venous catheter-related infection is the most common complication in patients on hemodialysis. Nursing care is essential for its maintenance, minimizing risk factors, and avoiding complications, such as bacteremia. A systematic review was conducted to identify the influence of nursing care on the prevention of bacteremia due to hemodialysis catheter. The primary endpoint was the bacteremia rate measured as number of events per 1000 catheter days. The rate of bacteremia in the studies ranged from 0.2 to 5.47 events per 1000 catheter days after the application of nursing care. Several studies have shown a significant reduction in central venous catheter bacteremia with the application of management protocols, appropriate vigilance, and monitoring, as well as the inclusion of the Plan Do Check Act cycle and education.
Hernán VG, Muñoz GM, Monroy AM, Cabana AF, Rivas EO, García IZ, Soriano IO. Influence of Care on the Prevention of Bacteremia in Hemodialysis: Systematic Review. Nephrol Nurs J. 2023 Jul-Aug;50(4):333-344. PMID: 37695519.