Multifaceted intervention to reduce haemodialysis catheter related bloodstream infections: REDUCCTION stepped wedge, cluster randomised trial.

ABSTRACT:

Objective

To identify whether multifaceted interventions, or care bundles, reduce catheter related bloodstream infections (CRBSIs) from central venous catheters used for haemodialysis.

Design

Stepped wedge, cluster randomised design.

Setting

37 renal services across Australia.

Participants

All adults (age ≥18 years) under the care of a renal service who required insertion of a new haemodialysis catheter.

Interventions

After a baseline observational phase, a service-wide, multifaceted intervention bundle that included elements of catheter care (insertion, maintenance, and removal) was implemented at one of three randomly assigned time points (12 at the first time point, 12 at the second, and 13 at the third) between 20 December 2016 and 31 March 2020.

SUBMITTER: Kotwal S 

PROVIDER: S-EPMC9002320 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature