Does Washing the AVF access at the HD Center Reduce Infections

Picot Question: Does washing the AVF access at the HD center reduce infections vs only washing at home prior to tx?

Various types of AVF have been developed recently to fit the needs of individual patients. This AVF is categorized as either distalor proximal if they are based on the upper arms. Another classification is based on the type of anastomosis in which they are categorized as either artery side to vein end anastomosis or side to side anastomosis(Canaud et al., 2019). However, extra care needs to be observed during AVF to prevent infections. The following picot question, “Does washing the AVF access at the HD center reduce infections vs only washing at home prior to tx?” indicate the most recommendable measures.

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Picot Question

The picot question states that “Does washing the AVF access at the HD center reduce infections vs only washing at home prior to tx?” In this case, washing AVF access at the Hemodialysis (HD) center is the most appropriate measure for reducing infections(Vijayan& Boyce,2018). Both dialysis staff and hemodialysis (HD) patients have higher chances of acquiring healthcare-associated infections (HAIs)(Karkar,2018). These infections are triggered by prolonged and frequent exposures to various contaminants present in the HD environment.These HAIs are associated with hospitalization and most HD patients(Zingg et al., 2015).Therefore, dialysis units need to develop measures for regulating these infections(Karkar et al., 2014). Washing AVF access at the Hemodialysis (HD) center is considered as an effective strategy for minimizing these infections(Schweiger et al., 2015). Taking this initiative will kill any pathogens that might have been transmitted through the care providers (Park et al., 2018).Does Washing the AVF access at the HD Center Reduce Infections

Independent and Dependent Variable

A complete proposal topic has both independent and dependent variables. Similarly, the picot question “Does washing the AVF access at the HD center reduce infections vs only washing at home prior to tx?” has both independent and dependent variables. In this case, washing the AVF access at the HD center and washing at home prior to txare independent variables. On the other hand, the rate of infections is the dependent variable. These infections depend on the implemented strategy, including washing the AVF access at the HD center and washing at home prior to tx.Does Washing the AVF access at the HD Center Reduce Infections

Search Terms

Search terms guide the researcher during the study. In other words, they help the researcher to narrow down the topic of study to avoid collecting unnecessary data. Similarly, search terms were helpful to the researcher during this study. Some of the terms utilized for this study include AVF, AVF access, Hemodialysis (HD) center, dialysis, and healthcare-associated infections (HAIs). The use of these search words assisted the researcher in gathering the required data during the study.

Database Used

Nursing and health databases were used to gather the required data. The most helpful databasesincludeCINAHL, EBSCO Databases, ProQuest Databases, Cochrane Library, EMBASE, and Medline.

Primary and Secondary Data

Both primary and secondary data was gathered from the selected websites. Primary data was collected from the clinical trials and experiments conducted and documented on the selected websites. On the other hand, secondary data was gathered from scholarly journal articles on the topic of study.

In conclusion, the discussion has focused on the picot question, “Does washing the AVF access at the HD center reduce infections vs only washing at home prior to tx?” various nursing and health databases such as Medline, EMBASE, and CINAHL were used to gather the required primary and secondary data.Does Washing the AVF access at the HD Center Reduce Infections

References

Canaud, B., Ponce, P., Parisotto, M. T., Busink, E., Apel, C., Rammo, J., & Stuard, S. (2019). Vascular Access Management for Haemodialysis: A Value-Based Approach from NephroCare Experience. In Vascular Access Surgery-Tips and Tricks. IntechOpen.https://www.intechopen.com/books/vascular-access-surgery-tips-and-tricks/vascular-access-management-for-haemodialysis-a-value-based-approach-from-nephrocare-experience

Karkar, A. (2018). Infection control guidelines in hemodialysis facilities. Kidney research and clinical practice, 37(1), 1.doi: 10.23876/j.krcp.2018.37.1.1

Karkar, A., Bouhaha, B, M., Dammang, M, L., (2014).  Infection control in hemodialysis units: quick access to essential elements. Saudi J Kidney Dis Transpl; 25:496–519. doi: 10.4103/1319-2442.132150.

Park, H, C., Lee, Y, K., Yoo, K, D, et al. (2018). Korean clinical practice guidelines for preventing the transmission of infections in hemodialysis facilities. Kidney Res Clin Pract, 37:8–19. doi: 10.23876/j.krcp.2018.37.1.8.

Schweiger, A., Trevino, S., & Marschall, J. (2015). Nosocomial infections in dialysis access. In-Patient Safety in Dialysis Access (Vol. 184, pp. 205-221). Karger Publishers.

Vijayan, A., & Boyce, J. M. (2018). 100% use of infection control procedures in hemodialysis facilities: Call to action. Clinical Journal of the American Society of Nephrology, 13(4), 671-673.

Zingg W, Holmes A, &Dettenkofer M, et al. (2015). Hospital organization, management, and structure to prevent healthcare-associated infection: a systematic review and expert consensus. Lancet Infect Dis, 15:212–224. doi: 10.1016/S1473-3099(14)70854-0.Does Washing the AVF access at the HD Center Reduce Infections