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Healthcare-Associated Infection (HAI) Advisory Committee

End-Stage Renal Disease (ESRD) Subcommittee

HAI Prevention Strategies Subcommittee logo

On May 17, 2013, the ADVICE (Arizona Developing Value through Innovation and Communication with ESRD providers) Collaborative was held to address infection control in dialysis care. The goal of the collaborative was to build strategic partnerships with dialysis providers, End-Stage Renal Disease (ESRD) networks, renal associations, public health professionals, federal partners, and other stakeholders. Participants discussed current best practices, new ways to promote infection control, and developed a strategic plan for future activities. As a result, the End-Stage Renal Disease (ESRD) Subcommittee was developed. The ESRD Subcommittee is currently working on staff/patient infection control, best practices, and vaccination educational projects.

End-Stage Renal Disease (ESRD) Subcommittee Roster


  • PCV13 and PPSV23 Vaccination Algorithm for Individuals with Chronic Renal Failure or Nephrotic Syndrome per CDC and ACIP Guidelines
    The HAI Advisory Committee, in collaboration with the ESRD Subcommittee, has developed a pneumococcal vaccination algorithm. The goal of this algorithm to assist Arizona’s hemodialysis facilities navigate recent changes to Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP) recommendations regarding 13-valent pneumococcal conjugate vaccine (PCV13) and 23-valent pneumococcal polysaccharide vaccine (PPSV23) use among chronic renal failure and nephrotic syndrome patients.
  • AHRQ Safety Program for End-Stage Renal Disease Facilities Toolkit
    Dialysis clinics can use this toolkit to prevent healthcare-associated infections in their patients. Available at no charge, the toolkit helps clinicians and other health care workers follow clinical best practices, create a culture of safety, use checklists and other audit tools, and engage patients and their families in infection prevention practices. This new resource has science-based, practical information—including educational videos—that reflects the experiences of the frontline providers who helped develop the toolkit.
  • CDC's Dialysis Safety website
  • Provider Training Video - Preventing Bloodstream Infections in Outpatient Hemodialysis Patients: Best Practices for Dialysis Staff
    The video is intended to be used by outpatient hemodialysis facilities as an educational tool to help remind their frontline staff, including technicians and nurses, about infection prevention measures. It can be used as an orientation video for new staff and as an annual in-service training tool to remind staff of proper protocols.
    • Provider Poster - Put Together the Pieces to Prevent Infections in Dialysis Patients
      The poster can be posted in staff lounges or on the treatment floor to serve as a reminder of the messages in the video and other important ways to prevent infections.
    • Patient Pocket Guide - 6 Tips to Prevent Dialysis Infections
      The patient pocket guide is intended to educate patients on ways they can help prevent infections and can be shared as part of an information packet or reviewed with them by clinical staff.
  • Infection Control Checklist
    In an effort to promote infection control best practices and a team approach to prevention, Arizona’s Healthcare-Associated Infections (HAI) Advisory Committee has developed the “Infection Control Checklist”. This two sided document promotes teamwork and interaction concerning infection control between healthcare providers (HCPs) and patients on one side and education on the other. This checklist can be used by HCPs and patients to increase their knowledge and promote discussion of healthcare-associated infections and prevention.
  • Guidelines for Vaccinating Kidney Dialysis Patients and Patients with Chronic Kidney Disease, 2012.
    The purpose of this document is to provide guidance for the vaccination of dialysis patients and patients with Chronic Kidney Disease (CKD). This summary is not meant to apply to chronic kidney disease patients who are recently post-transplant. These patients are considered more significantly immunosuppressed than those who have only chronic kidney disease, with or without dialysis.
  • Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011.
    This report provides Healthcare practitioners with background information and specific recommendations to reduce the incidence of intravascular catheter-related bloodstream infections (CRBSI).
  • Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care, 2011.
    This is a summary guide of infection prevention recommendations for outpatient (ambulatory care) settings. The recommendations included in this document are not new but rather reflect existing evidence-based guidelines produced by the Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee. This summary guide is based primarily upon elements of Standard Precautions and represents the minimum infection prevention expectations for safe care in ambulatory care settings.
  • Guide to the Elimination of Infections in Hemodialysis: An APIC Guide, 2010.
    The purpose of this document is to provide evidence-based guidance for the prevention of healthcare-associated infections in all hemodialysis settings: acute, chronic, and home. The Guide has been designed for use by those responsible for infection prevention in these settings. In some settings, this may be the infection preventionist (IP), in others it may be the dialysis technician, dialysis nurse, or other.
  • Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008.
    Evidence-based recommendations on the preferred methods for cleaning, disinfection, and sterilization of patient-care medical devices and for cleaning and disinfecting the healthcare environment. In addition to updated recommendations, new topics are also addressed in this guideline.
  • Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007.
    This document is intended for use by infection control staff, healthcare epidemiologists, healthcare administrators, nurses, other healthcare providers, and persons responsible for developing, implementing, and evaluating infection control programs for healthcare settings across the continuum of care.
  • Management of Multidrug-Resistant Organisms In Healthcare Settings, 2006.
    The prevention and control of MDROs is a national priority - one that requires that all healthcare facilities and agencies assume responsibility. The following recommendations are provided to guide the implementation of strategies and practices to prevent the transmission of MRSA, VRE, and other MDROs.
  • Guidelines for Environmental Infection Control in Health-Care Facilities, 2003.
    Compilation of recommendations for the prevention and control of infectious diseases that are associated with healthcare environments.
  • Guideline for Hand Hygiene in Health-Care Settings, 2002.
    Recent developments in the field have stimulated a review of the scientific data regarding hand hygiene and the development of new guidelines designed to improve hand hygiene practices in healthcare facilities.
  • Recommendations for Preventing Transmission of Infections Among Chronic Hemodialysis Patients, 2001.
    These recommendations replace previous recommendations for the prevention of bloodborne virus infections in hemodialysis centers and provide additional recommendations for the prevention of bacterial infections in this setting. The recommendations in this report provide guidelines for a comprehensive infection control program that includes a) infection control practices specifically designed for the hemodialysis setting, including routine serologic testing and immunization; b) surveillance; and c) training and education.