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November 1, 2002
CDC Promotes Campaign to Prevent Antimicrobial Resistance in Dialysis Patients
The Centers for Disease Control and Prevention (CDC) announced today, during the American Society of Nephrology conference, a campaign aimed at nephrologists to prevent antimicrobial resistance in dialysis patients.
Like the overall campaign to reduce antimicrobial resistance in healthcare settings, launched in March 2002, the component targeting nephrologists centers around four key strategies for preventing antimicrobial resistance in healthcare settings: 1) preventing infection, 2) diagnosing and treating infection effectively, 3) using antimicrobials wisely, and 4) preventing transmission of drug-resistant pathogens. Within these strategies are 12 specific action steps derived from evidenced-based guidelines and recommendations already developed by CDC and other organizations that clinicians can take now to prevent antimicrobial resistance in dialysis patients.
"Due to frequent hospitalizations, receipt of antibiotics, and exposure to bacterial infections at the vascular access site, dialysis patients have an ongoing risk for antimicrobial resistance," said Dr. Steve Solomon, director of CDC's healthcare quality promotion program. This campaign gives nephrologists 12 steps to protect their patients from this ongoing risk."
The action steps for nephrologists who provide care for dialysis patients include:
Action Step 1: Vaccinate Staff and Patients
Action Step 2: Get the Catheters Out
Action Step 3: Optimize Access Care
Action Step 4: Target the Pathogen
Action Step 5: Access the Experts
Action Step 6: Use Local Data
Action Step 7: Know When to Say "No" to Vanco
Action Step 8: Treat Infection, Not Contamination or Colonization
Action Step 9: Stop Antimicrobial Treatment
Action Step 10: Follow Infection Control Precautions
Action Step 11: Practice Hand Hygiene
Action Step 12: Partner With Your Patients
Some of the materials being developed include a slide set featuring the 12 action steps and the evidence to support them, posters, as well as a badge cards listing the 12 action steps. The campaign also features a website where nephrologist may access the 12 action steps as well as information to share with their patients.
Antimicrobial resistant infections in healthcare settings are a major threat to patient safety. Each year in the United States an estimated 2 million hospitalized people acquire infections that result in more 90,000 deaths. More than half of these infections are caused by bacteria that are resistant to at least one of the antimicrobials commonly used to treat those infections, according to CDC.
"CDC believes that this educational campaign can increase patient safety by preventing life-threatening antibiotic resistant infections," said Solomon. "In the future, CDC will announce similar action steps for clinicians who care for surgical patients, patients in long-term care facilities, and hospitalized children."
This campaign is made possible through support from the CDC Foundation http://www.cdcfoundation.org/. For more information on CDC's campaign to prevent antimicrobial resistance in healthcare settings go to www.cdc.gov/drugresistance/healthcare.
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CDC protects people's health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national, and international organizations.
This page last updated November 1, 2002
States Department of Health and Human Services