Bugs and Drugs: Prevention of Blood Stream Infections in Hemodialysis

Many bloodstream infections in hemodialysis patients are preventable. In this activity blood stream infections (BSI) will be discussed. Recommended practices to identify the risk factors and how to prevent them in the dialysis patient population will be examined. Evidence-based strategies to reduce them as well as the current research gaps will also be reviewed.

Learning Objectives: 

After participation in this activity, learners will be better able to:

  • Discuss blood stream infections in hemodialysis (HD)
  • Identify major risk factors for blood stream infection (BSI) in hemodialysis patients
  • Describe evidence-based strategies to reduce BSI associated with hemodialysis
  • Discuss research gaps in the prevention of blood stream infections

Target Audience

  • Nurses
  • Dialysis Technicians
Accreditation/Designation of Credit Statements:

The National Kidney Foundation is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the healthcare team.

Nurse and Dialysis Technician
Awarded 1.5 contact hours of continuing nursing education (includes 0.0 contact hours in the area of pharmacology).  

Method of Participation:

Learners will review the materials on accreditation information, target audience, learning objectives, and disclosure information; participate in the entire self-study consisting of slides and audio; and complete the post-test (minimum score of 70% required; learners will only have 3 attempts to pass the post-test) and evaluation to successfully earn credit. The estimated time for completion is 1.5 hours.  

Declaration of Disclosure:

It is the policy of the National Kidney Foundation (NKF) to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities. Any individual who has control over CME/CE content is required to disclose to learners prior to the activity any relevant financial relationship(s) they may have with commercial interests supporting this activity or whose products or devices are discussed in this activity.  

If, on the basis of information disclosed, a perceived conflict exists, resolution will be achieved based on NKF's Disclosure and Conflict of Interest Policy.

Unlabeled/Investigational Use:

During their presentations, faculty may discuss an unlabeled use or an investigational use not approved for a commercial product. Each faculty member is required to disclose this information to the audience when referring to an unlabeled or investigational use.


The faculty and National Kidney Foundation (NKF) do not recommend the use of any pharmaceutical, diagnostic test, or device outside of the labeled indications as approved by the FDA. Please refer to the official prescribing information for each product for approved indications, contraindications, and warnings.

Information contained in this NKF educational resource is based upon current data available at the time of publication. Information is intended to help clinicians become aware of new scientific findings and developments.  This NKF educational resource is not intended to set out a preferred standard of care and should not be construed as one. Neither should the information be interpreted as prescribing an exclusive course of management.

Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of information in this NKF educational resource is responsible for interpreting the data as it pertains to clinical decision making in each individual patient.

Course summary
Available credit: 
  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance
  • 1.50 ANCC Dialysis Technician Contact Hours
Course opens: 
Course expires: 
Faculty Disclosures:

Priti Patel, MD, MPH
Team Leader, Division of Healthcare Quality Promotion
Centers for Disease Control and Prevention
Atlanta, GA
Disclosure: Has no financial relationships with commercial interest(s).

Planning Committee Disclosures:

Katherine H Houle, MSN, APRN, C-FNP, CNN-NP
Nephrology Nurse Practitioner
UP Health System
Marquette, MI 
Disclosure: Received an honorarium from Keryx for her role on a speakers bureau in the area of CKD.

Amy Proctor, RN, BSN, CDN
Regional Quality Manager
Fresenius Medical Care
Houston, TX
Disclosure: Receives a salary from Fresenius Medical Care in the area of hemodialysis.

Nathalie Harden 
Director, CME    
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Danielle Nathan
Professional Education Director
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).
Anna Okoniewski

CME/CE Activities Manager
National Kidney Foundation    
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Melinda Martin-Lester, RN, BA, CNN, CHC
Director of Regulatory Compliance
Renal Ventures Management
Lakewood, CO
Disclosure: Has no financial relationships with commercial interest(s).

Available Credit

  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance
  • 1.50 ANCC Dialysis Technician Contact Hours


Please login or register for a PERC account to take this course.

Required Hardware/software

System requirements can be found here.

Contact Information:

For any questions concerning this activity, please send an email to CMEinfo@kidney.org or call NKF at 1-800-622-9010.

To view NKF privacy and confidentiality policy as it relates to CME/CE activity, please visit http://www.kidney.org/

For additional professional education resources, contact NKF at 1-800-622-9010 or visit https://www.kidney.org/professionals