Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national data
Summary: Background: Monitoring dialysis events is very important in evaluating the risk of infection and antimicrobial use among this group of vulnerable patients. The objective was to calculate rates of dialysis events at outpatient hemodialysis centers in Saudi Arabia. Methods: A retrospective c...
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Elsevier
2025-03-01
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| Series: | Infection Prevention in Practice |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590088925000113 |
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| author | Mohammed ALQahtani Aiman El-Saed Faisal Alsheddi Ahlam H. Alamri Atef M. Shibl Khalid H. Alanazi |
| author_facet | Mohammed ALQahtani Aiman El-Saed Faisal Alsheddi Ahlam H. Alamri Atef M. Shibl Khalid H. Alanazi |
| author_sort | Mohammed ALQahtani |
| collection | DOAJ |
| description | Summary: Background: Monitoring dialysis events is very important in evaluating the risk of infection and antimicrobial use among this group of vulnerable patients. The objective was to calculate rates of dialysis events at outpatient hemodialysis centers in Saudi Arabia. Methods: A retrospective cohort study of dialysis events collected from 152 outpatient hemodialysis centers in 20 Saudi regions between January 2019 and December 2021. The Saudi Health Electronic System Network (HESN) was used to report data from participating centers. Dialysis events included in-unit intravenous antimicrobial start, positive blood culture, and infection (pus, redness, and swelling) at the vascular access site. Results: A total of 125,761 patient months of surveillance were monitored. The most frequent type of dialysis event was the in-unit intravenous antimicrobial start at 0.75 per 100 patient months, followed by positive blood culture at 0.41, and finally, local access of the infection site at 0.34. The rates of dialysis events were highest, with temporary central lines at 4.36, permanent central lines at 1.87, arteriovenous graft at 0.35, and finally, arteriovenous fistula at 0.17. After adjusting for the differences in the type of vascular access, the rates of dialysis events in the Saudi HESN were lower, 54%–83%, than those of the American National Healthcare Safety Network (NHSN, P<0.001 for each) and a less extent 27%–55% lower when compared with the published results from Chinese people. Conclusions: The current findings provide benchmarking data for different dialysis events that can promote fair comparisons and interest in dialysis event surveillance. |
| format | Article |
| id | doaj-art-d2fc5fea835b49a5b125895effe9ae97 |
| institution | Kabale University |
| issn | 2590-0889 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Infection Prevention in Practice |
| spelling | doaj-art-d2fc5fea835b49a5b125895effe9ae972025-02-12T05:31:43ZengElsevierInfection Prevention in Practice2590-08892025-03-0171100447Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national dataMohammed ALQahtani0Aiman El-Saed1Faisal Alsheddi2Ahlam H. Alamri3Atef M. Shibl4Khalid H. Alanazi5General Directorate of Infection Prevention and Control, Saudi Ministry of Health, Riyadh, Saudi Arabia; Corresponding author. Address: Surveillance Department, General Directorate of Infection Prevention and Control (GDIPC), Ministry of Health (MOH), PO Box 11176, Riyadh, Kingdom of Saudi Arabia. Tel.: +966 596900163.Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi ArabiaGeneral Directorate of Infection Prevention and Control, Saudi Ministry of Health, Riyadh, Saudi ArabiaGeneral Directorate of Infection Prevention and Control, Saudi Ministry of Health, Riyadh, Saudi ArabiaMicrobiology and Immunology Department, College of Medicine Al-Faisal University, Riyadh, Saudi ArabiaGeneral Directorate of Infection Prevention and Control, Saudi Ministry of Health, Riyadh, Saudi ArabiaSummary: Background: Monitoring dialysis events is very important in evaluating the risk of infection and antimicrobial use among this group of vulnerable patients. The objective was to calculate rates of dialysis events at outpatient hemodialysis centers in Saudi Arabia. Methods: A retrospective cohort study of dialysis events collected from 152 outpatient hemodialysis centers in 20 Saudi regions between January 2019 and December 2021. The Saudi Health Electronic System Network (HESN) was used to report data from participating centers. Dialysis events included in-unit intravenous antimicrobial start, positive blood culture, and infection (pus, redness, and swelling) at the vascular access site. Results: A total of 125,761 patient months of surveillance were monitored. The most frequent type of dialysis event was the in-unit intravenous antimicrobial start at 0.75 per 100 patient months, followed by positive blood culture at 0.41, and finally, local access of the infection site at 0.34. The rates of dialysis events were highest, with temporary central lines at 4.36, permanent central lines at 1.87, arteriovenous graft at 0.35, and finally, arteriovenous fistula at 0.17. After adjusting for the differences in the type of vascular access, the rates of dialysis events in the Saudi HESN were lower, 54%–83%, than those of the American National Healthcare Safety Network (NHSN, P<0.001 for each) and a less extent 27%–55% lower when compared with the published results from Chinese people. Conclusions: The current findings provide benchmarking data for different dialysis events that can promote fair comparisons and interest in dialysis event surveillance.http://www.sciencedirect.com/science/article/pii/S2590088925000113HemodialysisDialysis eventsVascular accessInfectionBacteremiaAntimicrobial use |
| spellingShingle | Mohammed ALQahtani Aiman El-Saed Faisal Alsheddi Ahlam H. Alamri Atef M. Shibl Khalid H. Alanazi Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national data Infection Prevention in Practice Hemodialysis Dialysis events Vascular access Infection Bacteremia Antimicrobial use |
| title | Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national data |
| title_full | Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national data |
| title_fullStr | Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national data |
| title_full_unstemmed | Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national data |
| title_short | Infection control Surveillance of dialysis events at outpatient hemodialysis centers in Saudi Arabia: A 3-year national data |
| title_sort | infection control surveillance of dialysis events at outpatient hemodialysis centers in saudi arabia a 3 year national data |
| topic | Hemodialysis Dialysis events Vascular access Infection Bacteremia Antimicrobial use |
| url | http://www.sciencedirect.com/science/article/pii/S2590088925000113 |
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