Table 2.
Facility Characteristics and BHC Practices Based on Survey Data, NHSN 2014
| Parameter | Value |
|---|---|
| Facility Characteristics (n= 6,010) | |
| Facility ownership | |
| For profit | 5,147 (86%) |
| Governmental not for profit | 50 (1%) |
| Nongovernmental not for profit | 813 (13%) |
| Affiliated with group or chain of dialysis facilities | 5,404 (90%) |
| Affiliated with a large dialysis organization | 3,795 (63%) |
| Hospital affiliated | 572 (10%) |
| Types of patients receiving BHC (n = 3,756) | |
| In-center HD patients only | 3,085 (82%) |
| Home HD patients only | 87 (2%) |
| Both home and in-center HD patients | 584 (16%) |
| Frequency of patients undergoing BHC (n = 5,125)a | |
| All | 27 (<1%) |
| Most | 189 (4%) |
| Some | 3,065 (60%) |
| None | 1,844 (36%) |
| No. of dialysis stationsb | 17 [1–96] |
| Facility AVF Care Practices (n= 6,010) | |
| AVF site cleansing method | |
| Alcohol | 799 (13%) |
| Chlorhexidine | 73 (1%) |
| Alcohol and chlorhexidine | 206 (4%) |
| Soap | 4,502 (75%) |
| Other | 131 (2%) |
| None | 139 (2%) |
| Missing | 160 (3%) |
| AVF preparation method | |
| Alcohol | 2,937 (49%) |
| Chlorhexidine | 818 (13%) |
| Alcohol and chlorhexidine | 66 (1%) |
| Povidone-iodine | 1,260 (21%) |
| Sodium hypochlorite | 761 (13%) |
| Other | 6 (<1%) |
| Nothing | 2 (<1%) |
| Missing | 160 (3%) |
| Facility BHC Practicesc (n= 3,281) | |
| Types of patients receiving BHCc | |
| In-center HD patients only | 2,686 (82%) |
| Home HD patients only | 71 (2%) |
| Both home and in-center HD patients | 523 (16%) |
| Missing | 1 (<1%) |
| Routine use of antimicrobial ointment at BHC site to prevent infectionsc | |
| Yes | 370 (11%) |
| No | 2,910 (89%) |
| Missing | 1 (<1%) |
| Person most often performing BHCc | |
| Nurse | 499 (15%) |
| Technician | 2,452 (75%) |
| Patient | 154 (5%) |
| Other | 104 (3%) |
| Missing | 72 (2%) |
Abbreviations: AVF, arteriovenous fistula; BHC, buttonhole cannulation; HD, hemodialysis; NHSN, National Healthcare Safety Network.
a
Among 5,125 facilities with responses; 885 facilities with missing response were not included.
b
Given as median [range].
c
Among 3,281 facilities reporting on the annual survey that the frequency of patients undergoing BHC was all, most, or some. Facilities reporting the frequency as none or missing were not included.