Understanding & Preventing Infectious Complications in Dialysis
National Agenda for Prevention of Healthcare-Associated Infections in Dialysis Centers
Article first published online: 20 MAY 2013
© Published 2013. This is a U.S. Government work and is in the public domain in the USA.
Seminars in Dialysis
Volume 26, Issue 4, pages 376–383, July–August 2013
How to Cite
Gupta, N., Cannon, M., Srinivasan, A. and for the members of the Working Group of the Federal Steering Committee for the Prevention of Healthcare-Associated Infections in End-Stage Renal Disease Facilities (2013), National Agenda for Prevention of Healthcare-Associated Infections in Dialysis Centers. Seminars in Dialysis, 26: 376–383. doi: 10.1111/sdi.12091
- Issue published online: 17 JUL 2013
- Article first published online: 20 MAY 2013
- HHS Office of the Assistant Secretary of Health
Healthcare-associated infections (HAIs) are among the leading causes of morbidity and mortality in dialysis patients. To coordinate HAI prevention efforts, the U.S. Department of Health and Human Services established the National Action Plan to Prevent Healthcare Associated Infections in End-Stage Renal Disease Facilities. This comprehensive plan prioritizes HAI prevention practices and 5-year evaluation targets based on the burden of disease, level of scientific evidence, and anticipated impact from the recommended intervention. As such, the Plan focuses primarily on interventions to reduce vascular access-related complications and infections with hepatitis B and hepatitis C virus. Over the last decade, there have been several efforts to expand HAI surveillance and prevention efforts, including coordination of HAI reporting metrics across multiple national agencies, changes in financial incentives by the Centers for Medicare & Medicaid Services (CMS), and federal funding for expansion of state-based HAI prevention programs. As a result, a paradigm shift in HAI prevention has developed. Public health officials have assumed greater responsibility in reducing the burden of HAIs and healthcare providers have become more involved in HAI prevention. Since the Plan was initially drafted, several collaborative efforts in dialysis facilities have reported a reduction in HAIs through implementation of these interventions. These early successes highlight the potential impact of coordinated action to combat HAIs in dialysis settings and this National Action Plan provides evidence-based strategies on how best to achieve this.