The NHMRC funded REDUCCTION (Reducing the burden of dialysis catheter complications: a National approach) Project has developed a tool to allow data capture and monitoring of dialysis catheter related infections across renal units in Australia. The Project will implement a suite of evidence-based practice improvements aimed at reducing healthcare associated infections. The implementation is part of a stepped-wedge cluster of randomised controlled trial.
To reduce the rate of dialysis catheter related infections across Queensland and Australia.
- To define the national, clinical and economic burden of dialysis catheter infections in Australia.
- To implement an evidence-based and systematic intervention package using a stepped-wedge cluster design with the objective of reducing dialysis catheter related bacteraemia.
- To establish a framework for monitoring dialysis catheter related bacteraemia and sustaining improvements from the intervention phase.
Healthcare associated infections (HAI) cause significant and life-threatening harm to patients and incur major additional costs. Patients with kidney disease are especially susceptible to HAI, due to the harm associated with central dialysis catheter use. These catheters, essential to the delivery of life-sustaining dialysis treatment, are widely used and are a major driver of blood stream infection and increased mortality seen in patients receiving dialysis. The National Health and Medical Research Council funded program has four stages:
- Developing an electronic database
- Baseline data collection
- Implementation of a suite of interventions to reduce infections
- Achieve sustainable data collection and maintain improvements
The partnership grant will take around four years to complete.
A data capture tool has been developed and 37 renal units across Australia have entered data on over 2000 patients including over 240,000 catheter days (at January 2018). The implementation of a suite of interventions is scheduled for 2018.