The July Network Patient Bulletin is on “Vascular Access and Dialysis Safety.” It describes the various hemodialysis access types and their relationship to infections, and includes strategies for minimizing infection. Find a copy at https://s3-us-west-2.amazonaws.com/nwrn.org/files/PM/VA0717.pdf .
Northwest Renal Network’s June 2017 Patient Bulletin is on “What You Need to Know about Sepsis,” detailing its definition, causes, symptoms, who is likely to be vulnerable to it, and a link to more information from the National Institutes of Health, in both English and Spanish. Find a copy at https://www.nwrn.org/patients-a-family/ptedres/mon.html .
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 .
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 .
The National Patient Safety Foundation sponsors Patient Safety Awareness Week, March 12-18, 2017. For details see http://www.unitedforpatientsafety.org/ .
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 .
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 .