Antibiotic Therapy Reduces Mortality by 68 Percent in Dialysis Patients
An antibiotic therapy known to reduce catheter-related bloodstream infections in hemodialysis patients has been shown for the first time to reduce mortality, according to a Henry Ford Health System study.
Researchers found that a low-dose “lock” solution of gentamicin/citrate reduced mortality by 68 percent compared to a solution of heparin, a blood-clotting therapy long considered the standard of care. Additionally, the gentamicin/citrate solution was associated with a 73 percent reduction in bloodstream infections compared to the heparin treatment.
Bloodstream infections are a leading cause of hospitalization and death in hemodialysis patients.
The findings are published online in the Clinical Journal of the American Society of Nephrology at http://bit.ly/1nZlCpd, and will appear in the journal’s July print edition. An editorial accompanies the study.
Jerry Yee, MD, division head of nephrology and hypertension at Henry Ford and the study’s senior author, says the findings suggest the antibiotic therapy is a potential game-changer for hemodialysis treatment.
“Advances in treatment have been elusive over the years. Perhaps our study can be a starting point to change the paradigm as a standard of care,” Yee says. “The gentamicin/citrate solution was shown to be both safe and effective.”
For their prospective, observational study involving 749 patients from September 2008 to June 2011, researchers compared the two therapeutic solutions. There were 427 patients in the heparin study arm and 322 in the gentamicin/citrate arm. The solutions were administered using an antibiotic locking-technique that prevents catheter clotting and reduces infection.
Multiple studies have shown the benefit of using an antibiotic locking strategy for reducing bloodstream infections. However, the Centers for Disease Control and Prevention (CDC) and Infectious Diseases Society of America (IDSA) do not recommend the use of the solutions amid concern of a potential antimicrobial resistance with gentamicin/citrate. However, Henry Ford researchers found that gentamicin resistance rates deceased two-fold.
The study was funded by Henry Ford Health System.
Source: Henry Ford Health System
Barrier Against Infection: Importance and Challenges of Isolation Room Cleaning in Hospitals
October 4th 2024Isolation rooms are essential for infection control in health care, relying on specialized design, advanced cleaning protocols, and technology to prevent cross-contamination and safeguard patient safety.
The Critical Role of Clean Hospitals in Infection Control: Why You Should Join the Initiative
October 3rd 2024Clean Hospitals promotes global healthcare environmental hygiene, reducing infections and antimicrobial resistance. Join the movement to improve patient safety and staff protection through Clean Hospitals Day.
Health Care Linens: An Underrecognized Risk in Infection Prevention and Control
October 2nd 2024Health care linens are critical yet overlooked infection risks. Ensure proactive management by auditing laundering processes to prevent contamination and safeguard patient health across care settings. Read this article by Alexander Sundermann, DrPH, CIC, FAPIC.
