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How to Make Handwashing a Fun Experience For Patients in the Dialysis Unit

  • 1 Cheng Chu, MD, is a second year nephrology fellow at Saint Louis University.
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Cheng Chu, MD

Bloodstream infections (BSI) among hemodialysis patients are among the most challenging problems in dialysis units, and are associated with significant morbidity and mortality (1).

Approximately 37,000 vascular access–related BSIs are estimated to have occurred among US hemodialysis patients with a central venous catheter in 2008, with an average cost per hospitalization of $23,000 (2,3). A number of factors appear to have contributed to these high rates, and they apply to both dialysis staff and patients; proper gowning and gloving, hand sanitation, high catheter rate, and appropriate skin antisepsis are examples. An

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