Impact of a modified Broviac maintenance care bundle on bloodstream infections in paediatric cancer patients

Furtwängler, Rhoikos; Laux, Carolin; Graf, Norbert; Simon, Arne

doi:10.3205/dgkh000258

Cited by 8 publications

(2 citation statements)

References 59 publications

(73 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another study evaluated whether implementing a new care bundle for long-term central venous access devices (CVADs) including OCT-based disinfection of catheter hubs influenced the occurrence of bloodstream infections [45]. This study found no significant reduction associated with the intervention.…”

Section: Incidence Of Icu-or Catheter-related Bloodstream Infections ...mentioning

confidence: 99%

“…Besides daily whole-body washes, OCT might also be used for antiseptic treatment of catheter insertion sites prior to insertion and thereafter when changing the dresses. We found four studies evaluating whether this improved infection rates compared with other antiseptic regimens, none of which demonstrated a significantly favorable effect of OCT [42,44,45,49]. This shall not obscure that data indicate a reduction in bacterial contamination (in terms of bacterial loads counted in colony forming units) of catheter insertion sites when OCT is applied in addition to other antiseptics [44,57].…”

Section: Outcome Prevention Of Icu-/catheter-related Bloodstream Infe...mentioning

confidence: 99%

See 1 more Smart Citation

Clinical Evidence for the Use of Octenidine Dihydrochloride to Prevent Healthcare-Associated Infections and Decrease Staphylococcus aureus Carriage or Transmission—A Review

et al. 2023

View full text Add to dashboard Cite

Background: The antiseptic agent octenidine dihydrochloride (OCT) is used for skin preparation, for Staphylococcus aureus decolonization, and within bundles for the prevention of catheter-related or surgical site infections (SSIs). Here, we review the evidence for the effects of OCT from clinical studies. Methods: Review of studies published in the Medline, Scopus, and Cochrane databases until August 2022, performed in clinical settings and reporting on effects of OCT on S. aureus carriage/transmission, SSI prevention, and prevention of intensive care unit (ICU)-related or catheter-related bloodstream and insertion site infections. Results: We included 31 articles. The success of S. aureus decolonization with OCT-containing therapies ranged between 6 and 87%. Single studies demonstrated that OCT application led to a reduction in S. aureus infections, acquisition, and carriage. No study compared OCT for skin preparation before surgical interventions to other antiseptics. Weak evidence for the use of OCT for pre-operative washing was found in orthopedic and cardiac surgery, if combined with other topical measures. Mostly, studies did not demonstrate that daily OCT bathing reduced ICU-/catheter-related bloodstream infections with one exception. Conclusions: There is a need to perform studies assessing the clinical use of OCT compared with other antiseptics with respect to its effectiveness to prevent nosocomial infections.

show abstract

Section: Incidence Of Icu-or Catheter-related Bloodstream Infections ...mentioning

confidence: 99%

Section: Outcome Prevention Of Icu-/catheter-related Bloodstream Infe...mentioning

confidence: 99%

Clinical Evidence for the Use of Octenidine Dihydrochloride to Prevent Healthcare-Associated Infections and Decrease Staphylococcus aureus Carriage or Transmission—A Review

et al. 2023

View full text Add to dashboard Cite

show abstract

Vermeidung von Komplikationen im Umgang mit zentralen Venenkathetern bei Kindern

Aprili

Erb

2017

Anaesthesist

View full text Add to dashboard Cite

Central venous catheters (CVCs) are an important tool in the treatment of children. The insertion of a catheter may result in different complications depending of the type of catheter, the technique used for the insertion and the location. There are various techniques to reduce the risk of complications. In order to reduce the rate of complications of CVCs it is indispensable to perform a risk-benefit analysis for the individual patient before every insertion. The type of catheter used (for example tunneled catheters versus not-tunneled catheters) influences the rate of catheter-associated infections and the comfort of the patient significantly. The choice of the location is influenced by the expected indwelling time, the weight of the patient and the purpose of the CVC. Insertion via the vena jugularis interna is often chosen because of the reduced rate of complications during insertion. When the planned indwelling time of the catheter is longer or the child is fairly small the vena subclavia appears to be more appropriate. It is of utmost importance that the patient is positioned properly before insertion. Whenever possible the insertion should be performed with the help of ultrasound. The positioning of the catheter should be verified radiographically, possibly sonographically or with an ECG in order to avoid misplacement with potentially severe sequelae. The locally established hygienic guidelines should be strictly adhered to and everyone handling CVCs (doctors, nurses and patients) should have regular training.

show abstract

Kinderonkologie: Erhaltungspflege von Broviac- und Port-Kathetern

Scheler¹,

Simon²

2017

Krankenh.hyg. up2date

Self Cite

View full text Add to dashboard Cite

Impact of a modified Broviac maintenance care bundle on bloodstream infections in paediatric cancer patients

Cited by 8 publications

References 59 publications

Clinical Evidence for the Use of Octenidine Dihydrochloride to Prevent Healthcare-Associated Infections and Decrease Staphylococcus aureus Carriage or Transmission—A Review

Clinical Evidence for the Use of Octenidine Dihydrochloride to Prevent Healthcare-Associated Infections and Decrease Staphylococcus aureus Carriage or Transmission—A Review

Vermeidung von Komplikationen im Umgang mit zentralen Venenkathetern bei Kindern

Kinderonkologie: Erhaltungspflege von Broviac- und Port-Kathetern

Contact Info

Product

Resources

About