Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China.
A multicenter prospective surveillance on dialysis events was carried in 33 dialysis centers in China. Maintenance hemodialysis (HD) outpatients who were dialyzed on the first two days of each month during 2014 were monitored for dialysis events and other infections. During the one-year period, 52,680 patient-months were monitored. Fistula and tunneled or non-tunneled central line were used for 73.70%, 15.70% and 8.85% of vascular access, respectively. There were 773 dialysis events occurred in 671 patients including 589 IV antimicrobial starts, 74 positive blood cultures and 110 local access site infections (LASI). The incidence of dialysis events was 1.47 per 100 patient-months. Among the 74 cases with bloodstream infection (BSI), 38 were access-related BSI (ARB) and there were therefore 148 cases with vascular-related infection (VAI; 38 ARB and 110 LASI). There were 740 cases (1.40 per 100 patient-months) with infections other than BSI and LASI, most (79.19%) of which were respiratory tract infections. For those with dialysis events, there were 425 cases (425/671, 63.34%) admitted to hospital and 12 cases of death (12/671, 1.79%). In conclusion, the surveillance revealed a relatively low incidence of dialysis events and the surveillance may be tailored to target those using central lines in resource-limited settings.
Department of Infection Control, West China Hospital, Sichuan University, Chengdu, China.
Hui
H
Zhang
Department of Infection Control, First People's Hospital of Beijing University, Beijing, China.
Liuyi
L
Li
Department of Infection Control, First People's Hospital of Beijing University, Beijing, China.
Huixue
H
Jia
Department of Infection Control, Peoples Liberation Army General Hospital, Beijing, China.
Yunxi
Y
Liu
Department of Infection Control, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Jianguo
J
Wen
Department of Infection Control, the first hospital affiliated to Xiangya Medical School, Changsha, China.
Anhua
A
Wu
Department of Infection Control, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Qun
Q
Lu
Department of Infection Control, Guangdong Provincial People's Hospital, Guangzhou, China.
Tieying
T
Hou
Department of Infection Control, First Hospital of Shanxi Medical University, Taiyuan, China.
Yun
Y
Yang
Department of Infection Control, Guizhou Provincial People's Hospital, Guizhou, China.
Huai
H
Yang
Department of Infection Control, Shandong Province Hospital, Jinan, China.
Weiguang
W
Li
Department of Infection Control, West China Hospital, Sichuan University, Chengdu, China. zongzhiy@scu.edu.cn.|Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China. zongzhiy@scu.edu.cn.
Zhiyong
Z
Zong
D002681:China / Q000453:epidemiology; D003141:Communicable Diseases / Q000453:epidemiology*; D062665:Epidemiological Monitoring; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D010045:Outpatients; D011446:Prospective Studies; D006435:Renal Dialysis / Q000009:adverse effects*