5/19 Hepatitis Testing Day

May 19, 2017 is National Hepatitis Testing Day, and May 2017 is National Hepatitis Awareness Month, to encourage testing for HCV and HBV.  Find more information from CDC at https://www.cdc.gov/hepatitis/HepPromoResources.htm and additional resources on http://www.hepatitis.va.gov/campaign-hepatitis-awareness.asp and https://www.vaccines.gov/more_info/features/hepatitisawarenessmonth.html  .

5/5 Hand Hygiene Day

May 5, 2017 is World Hand Hygiene Day.  In addition to the new free CE course and other CDC materials linked to in our earlier bulletin at https://nwrnbulletins.wordpress.com/2017/05/02/55-cdc-hand-hygiene-course/ , the UN World Health Organization also has a web page full of resources on hand hygiene and antibiotic resistance, at http://www.who.int/infection-prevention/campaigns/clean-hands/en/ , and ASN’s Nephrologists Transforming Dialysis Safety campaign has a poster on the subject, at https://www.asn-online.org/news/2017/0504-Hand_Hygiene_Day.pdf  .

CDC HAN on Seoul Virus

CDC has issued an HAN Health Alert on Seoul Virus, a hantavirus, which can be contracted from pet rates and can result in potentially fatal Hemorrhagic Fever with Renal Syndrome (HFRS).  The primary source of the Virus in the US is in the Midwest, but infected rats have been found in much of the US.

Seoul virus is transmitted from rats to people.  People who become infected with this virus often exhibit relatively mild or no symptoms, but some develop HFRS (https://www.cdc.gov/hantavirus/hfrs), which can result in death in approximately 1–2% of HFRS cases.  Symptoms include fever, severe headache, back and abdominal pain, chills, blurred vision, redness of the eyes, or rash.  HFRS is characterized by a prodromal phase with non-specific symptoms and can progress to hypotension, decreased urine output, and renal failure, which often resolves after a diuretic phase.  Coagulopathy and pulmonary edema are rare complications.  Laboratory findings include low platelets, elevated white blood cell counts, electrolyte abnormalities, elevated blood urea nitrogen (BUN) and creatinine, and proteinuria.  Find the HAN notice at https://emergency.cdc.gov/han/han00400.asp .

1/24 Catheter Dressings Guidelines Review

CDC is inviting comments on a draft revision of their Recommendations on Use of Chlorhexidine-Impregnated Dressings for Prevention of Intravascular Catheter-Related Infections.  Comments are due by January 24, 2017.  For details see https://www.regulations.gov/docket?D=CDC-2016-0110

Patient Safety Poster

CDC and AAKP have collaborated to produce what they call a Conversation Starter to Prevent Infections in Dialysis Patients.  It’s a two-page flyer or poster or reference, presenting ten questions about the technical details of infection control and patient safety, that can be used for patient education, staff audits, and patient engagement.  Find an online copy at 
https://www.cdc.gov/dialysis/patient/conversation-starter.html and a printable pdf at 
https://www.cdc.gov/dialysis/pdfs/mdsc_qa_final_508_2_sm.pdf .

Don’t Wait, Vaccinate!

We’ve added the September Monthly Patient Flyer/Poster to the Network 16 website at https://www.nwrn.org/patients-a-family/ptedres/mon.html .  The Poster includes information about the flu, vulnerability, and the vaccine, links to a “Flu IQ Widget” or quiz, and how to get more information.

Don’t forget that healthcare personnel flu vaccination is part of the ESRD QIP, and must be reported to NHSN by May 15, 2017 for PY2019.