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      Epidemiology and Risk Factors for Hemodialysis Access-Associated Infections in Children: A Prospective Cohort Study From the SCOPE Collaborative.

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          Abstract

          Infections cause significant morbidity and mortality for children receiving maintenance hemodialysis (HD). The Standardizing Care to Improve Outcomes in Pediatric End-Stage Kidney Disease (SCOPE) Collaborative is a quality-improvement initiative aimed at reducing dialysis-associated infections by implementing standardized care practices. This study describes patient-level risk factors for catheter-associated bloodstream infections (CA-BSIs) and examines the association between dialysis center-level compliance with standardized practices and risk of CA-BSI.

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          Author and article information

          Journal
          Journal ID (iso-abbrev): Am J Kidney Dis
          Title: American journal of kidney diseases : the official journal of the National Kidney Foundation
          Publisher: Elsevier BV
          ISSN (Electronic): 1523-6838
          ISSN (Print): 0272-6386
          Publication date (Electronic): Aug 2022
          Volume: 80
          Issue: 2
          Affiliations
          [1 ] Division of Pediatric Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: rruebne1@jhmi.edu.
          [2 ] Children's Hospital Association, Lenexa, Kansas.
          [3 ] Division of Pediatric Nephrology, Cook Children's Hospital, Fort Worth, Texas.
          [4 ] Division of Pediatric Nephrology, Stanford University School of Medicine, Stanford, California.
          [5 ] Division of Pediatric Nephrology, Baylor College of Medicine San Antonio, San Antonio, Texas.
          [6 ] Section of Pediatric Nephrology, Yale University School of Medicine, New Haven, Connecticut.
          [7 ] Division of Pediatric Nephrology, Children's Mercy Kansas City, Kansas City, Missouri.
          [8 ] Division of Pediatric Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
          Article
          Publisher Item ID: S0272-6386(21)01049-0
          DOI: 10.1053/j.ajkd.2021.11.008
          PubMed ID: 34979159
          SO-VID: e69e91f9-d039-43bf-a0e2-77311d9068e1
          History

          Keywords: vascular access,HD access,Hemodialysis (HD),antimicrobial ointment,best practices,catheter-associated bloodstream infections (CA-BSIs),children,chronic kidney disease (CKD),end-stage kidney disease (ESKD),infection prevention,infectious complication,microbiology,mupirocin,pediatric nephrology,positive blood culture,standardized care
          Data availability:
          Keywords: vascular access, HD access, Hemodialysis (HD), antimicrobial ointment, best practices, catheter-associated bloodstream infections (CA-BSIs), children, chronic kidney disease (CKD), end-stage kidney disease (ESKD), infection prevention, infectious complication, microbiology, mupirocin, pediatric nephrology, positive blood culture, standardized care

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