title: Surveillance of dialysis events: 12-month experience at five outpatient adult hemodialysis centers in Kuwait.
abstract: BACKGROUND
  Embedding dialysis surveillance scheme is associated with reductions in blood stream infection and antimicrobial consumption .The aim of this study was to establish baseline dialysis events (DE) rates; hospitalization, intravenous (IV) antibiotics start or a positive blood culture stratified by vascular access category and comparisons to published National Healthcare Safety Network (NHSN) rates.
  
  
  METHODS
  A retrospective review of DE was done between January to December 2012, in five outpatient adult hemodialysis center.
  
  
  RESULTS
  The pooled mean rates of hospitalization among patients with fistulas, grafts, permanent and temporary catheters were 2.8, 5.7, 5.1, and 10.6 per 100 patient-months, respectively. For positive blood culture the pooled mean rates were 0.2, 1.0, 1.9 and 2.7 per 100 patient-months in these groups. The IV antibiotics starts event pooled mean rates were 5.9, 9.0, 11.8, and 11.2 per 100 patient-months. DE were significantly more common in patients with permanent and temporary catheters when compared with patients with fistulas and graft (p<0.001).
  
  
  CONCLUSIONS
  Surveillance of DE rates in Kuwait revealed significantly lower mean rate of hospitalization and positive blood culture while IV antimicrobial start shows significantly higher mean rate when compared to published NHSN data.
authors.affiliation: Infection Control Directorate, Ministry of Health, Kuwait; Infection Control Office, Ibn Sina Hospital, Ministry of Health, Kuwait. Electronic address: dinaabdou@yahoo.com.
authors.forename: D A
authors.initials: DA
authors.lastname: Badawy
authors.affiliation: Infection Control Office, Ibn Sina Hospital, Ministry of Health, Kuwait. Electronic address: h_mowafy@yahoo.com.
authors.forename: H S
authors.initials: HS
authors.lastname: Mowafi
authors.affiliation: Infection Control Directorate, Ministry of Health, Kuwait. Electronic address: hfalmousa@yahoo.com.
authors.forename: H H
authors.initials: HH
authors.lastname: Al-Mousa
mesh_terms: D061605:Administration, Intravenous; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D062665:Epidemiological Monitoring; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007730:Kuwait / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D012189:Retrospective Studies; D018805:Sepsis / Q000453:epidemiology*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Dialysis events; Fistula; Graft; NHSN; Surveillance