Question

About Clabsi in dialysis patient.

Answer 1

Clabsi :-it is a central line -associated infection

-it can be defined as laborotory confirmed blood stream infection and is not related to an infection at another site of body that develops within 48hours of central line placement .

Clabsi in dialysis

-it is heomodialysis (HD) catheter associated blood stream infection

-it is type of Clabsi

-infection occur due to central venous catheter for HD

CAUSES;-

-CONTAMINATION OF INSERTION

-CVAD HUB COLONISATION

-CONTAMINATED INFUSION AND COMPONENTS OF THE IV SET

-NON-INTACT SKIN

-THE CLIENT'S SKIN FLORA

Prevention of catheter related infection:-

-minimize the use of heomodialysis catheter

-perform hand hygiene

-apply appropriate skin antiseptic

-ensure the skin preparation agent is completely before inserting thecentre line catheter

-follow full sterile barrier precausion . example; sterile gloves and mask

-remove unneccessary catheters

-avoid using femoral vein for catheter insertion .

RISK FOR DEVELOPING CLABSI :-

-poor nutrition

-increased age

-impaired skin integrity

-position of CVAD catheter increase the chance of getting infection ex; femoral or interjugular

-history of diabetes or vascular disease

-poor hygiene

-poor hand hygiene technique

-prolonged duration of catheter

-non-compliance

-non adherence to sterile techniques

signs and symptoms ;-

-reness,swelling

-discharge at cetre line exit site

-fever and hypotension

-tachycardia

-diaphoresis

-respiratory destress

-chills

investigations;-

-blood culture from lumen ofCVAD

-bllodculture of peripheral blood

-full blood count

swab collection and test

Treatment of Clabsi;-

-topical antibioticc creams

-intrvenous antibiotics

-use supportive measures like

intravenous fluid therapy anf oxygen therapy if needed

-monitoring and assessment of clients

-remove unnecessary CVAD s(central venous access device)