Chimiothérapie intraveineuse à domicile en cancérologie pédiatrique : une expérience monocentrique

Bertrand, A.; Favier, Bertrand; Devaux, Yves; Goy, Florence; Marcault-Derouard, Anna; Veyet, Véronique; Cervos, Marie; Schell, Matthias

doi:10.1016/j.bulcan.2017.10.026

Bulletin du Cancer

2018

DOI: 10.1016/j.bulcan.2017.10.026

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Chimiothérapie intraveineuse à domicile en cancérologie pédiatrique : une expérience monocentrique

A. Bertrand

Bertrand Favier

Yves Devaux

et al.

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Cited by 3 publications

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“…In 2006, we launched a dedicated hospital-at-home (HAH) program covering the entire Auvergne-Rhone-Alpes region (recognized as an independent hospitalization department in 2009), which allowed the administration of chemotherapy at home. 4 The development of individual HAH programs follows families' wishes for fewer hospital visits, 5 and HAH has been shown to improve both physical and mental health for patients and their caregivers. 6 Our HAH patients receive substantial care from a team of home healthcare nurses, the number and training of whom vary widely from those of inpatients.…”

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confidence: 99%

Central-line–associated bloodstream infections in a pediatric oncology and hematology hospital at home program

Raimbault

Domenech

Fuhrmann

et al. 2022

Infect. Control Hosp. Epidemiol.

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Objective: Central-line–associated bloodstream infections (CLABSIs) are associated with significant morbidity among pediatric oncology-hematology patients, and risk factors remain largely unknown in the setting of hospital at home (HAH). Children in HAH receive intensive treatment (eg, chemotherapy and parenteral nutrition), with frequent central-line handling; thus, they may be at higher risk for CLABSI. Methods: We conducted a monocentric retrospective study of patients with a central line included in our HAH program from January 1 to December 31, 2016. HAH patient characteristics for children developing CLABSIs were compared to those who did not, based on blood cultures positive for infection and clinical data of all patients included. Results: Overall, 492 HAH stays were analyzed, with 144 patients. The overall CLABSI rate in these patients was 2.6 per 1,000 central-line days. Children who developed CLABSIs were younger (median age, 2.5 vs 8.8 years; P < .001), suffered more from hematological pathologies (malignant or nonmalignant, 75% vs 52%; P = .02), and had more frequently undergone hematopoietic stem-cell transplantation (30.8% vs 6.5%; P = .01). In addition, these patients often had a tunneled externalized catheter as the central line and were more frequently given parenteral nutrition at home (46% vs 8%; P < .001). Conclusions: CLABSI rates for children in HAH were more similar to those of inpatients than to rates previously reported for ambulatory patients. The factors associated with infection identified herein should be further validated in multicentric studies and considered to improve HAH practices, parallel to prevention measures used in the inpatient setting.

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mentioning

confidence: 99%

Central-line–associated bloodstream infections in a pediatric oncology and hematology hospital at home program

Raimbault

Domenech

Fuhrmann

et al. 2022

Infect. Control Hosp. Epidemiol.

Self Cite

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Pediatric palliative care at home by Home Care Unit: how home nurses feel?

Bertrand

Veyet

Goy

et al. 2021

Support Care Cancer

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Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review

Lizano-Díez

Amaral-Rohter

Pérez–Carbonell

et al. 2021

Home Health Care Management & Practice

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Patient Support Programs (PSPs) reinforce patients’ care provided by health care professionals with the aim to improve adherence and patient empowerment. PSPs may include interventions such as home-based care, individualized medication counseling, support, training, and home delivery of medicines and/or devices. This study described these services and its impact on patient-reported outcomes and health care savings. We conducted an integrative literature review which was limited to publications from the last 10 years (2009-2019) and focused on diseases that require special support and/or parenteral administration. From 7040 total citations, we identified 64 home-based care services performed worldwide. Among the home-based care services, most were provided by nurses (n = 47/64; 73.4%) and addressed to cancer patients (n = 22/64; 34.4%); 23 out of 64 services (35.9%) incorporated telepharmacy. In general, home-based services and PSPs showed a positive impact on patients’ adherence to medication, patient satisfaction, and health-related quality of life. In addition, 14 (21.9%) services reported economic results, most of which showed that home therapy led to substantial cost savings.

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Chimiothérapie intraveineuse à domicile en cancérologie pédiatrique : une expérience monocentrique

Cited by 3 publications

References 17 publications

Central-line–associated bloodstream infections in a pediatric oncology and hematology hospital at home program

Central-line–associated bloodstream infections in a pediatric oncology and hematology hospital at home program

Pediatric palliative care at home by Home Care Unit: how home nurses feel?

Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review

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