Date

6-2020

Department

School of Nursing

Degree

Doctor of Nursing Practice (DNP)

Chair

Cynthia Goodrich

Keywords

Catheter Related Bloodstream Infection

Disciplines

Nursing

Abstract

The role of Central Venous Catheters (CVC) is significant for the End-Stage Renal Disease (ESRD) population. The placement of the CVC for a HD (HD) patient is not only necessary, but life-sustaining. CVCs are usually placed for an emergent HD treatment, while awaiting a permanently placed arteriovenous fistula or graft (AVF/AVG), or when the permanent access becomes non-functioning. There are multiple risk factors related to having a CVC placed, the most predominant complication being catheter line-associated bloodstream infections (CLABSIs). Studies have shown that implementing a CVC prevention bundle was associated with a significant reduction in the CLABSI rates within the HD population. Implementing and examining the efficacy of best evidence-based practices to determine whether infection rates decrease in the ESRD population with a prevention bundle intervention, was the aim of this integrative review. Having the ability to control infection in ESRD patients is a challenging task for healthcare providers, especially because catheters are often manipulated during HD treatments, and ESRD patients are already immunocompromised.

Available for download on Wednesday, June 30, 2021

Included in

Nursing Commons

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