Incidence and risk factors for central venous access port-related infection in Chinese cancer patients

Wang, Ting Yao; Lee, Kuan Der; Chen, Ping Tsung; Chen, Min Chi; Chen, Yi Yang; Huang, Cih-En; Kuan, Feng Che; Chen, Chih‐Cheng; Lu, Chang

doi:10.1016/j.jfma.2015.06.013

Cited by 34 publications

(38 citation statements)

References 22 publications

(13 reference statements)

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“…Central line-associated bloodstream infections (CLABSIs), the majority related with the use of the central venous catheter (CVC) [6,7], are the most important complications in critical care [8–10] and in cancer settings [11,12]. In particular, in cancer settings, several risk factors have been identified for CLABSIs in patients who undergo chemotherapy such as, for example, a prolonged duration of catheterization, microbial colonization at the insertion site and of the catheter hub, and inadequate care/maintenance of the CVC after insertion [13–15].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

2017

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The objectives of the cross-sectional study were to delineate the knowledge, attitudes, and behavior among nurses regarding the prevention of central line-associated bloodstream infections (CLABSIs) and to identify their predisposing factors. A questionnaire was self-administered from September to November 2011 to nurses in oncology and outpatient chemotherapy units in 16 teaching and non-teaching public and private hospitals in the Campania region (Italy). The questionnaire gathered information on demographic and occupational characteristics; knowledge about evidence-based practices for the prevention of CLABSIs; attitudes towards guidelines, the risk of transmitting infections, and hand-washing when using central venous catheter (CVC); practices about catheter site care; and sources of information. The vast majority of the 335 nurses answered questions correctly about the main recommendations to prevent CLABSIs (use sterile gauze or sterile transparent semipermeable dressing to cover the catheter site, disinfect the needleless connectors before administer medication or fluid, disinfect with hydrogen peroxide the catheter insertion site, and use routinely anticoagulants solutions). Nurses aged 36 to 50 years were less likely to know these main recommendations to prevent CLABSIs, whereas this knowledge was higher in those who have received information about the prevention of these infections from courses. Nurses with lower education and those who do not know two of the main recommendations on the site’s care to prevent the CLABSIs, were more likely to perceive the risk of transmitting an infection. Higher education, attitude toward the utility allow to dry antiseptic, and the need of washing hands before wearing gloves for access to port infusion were predictors of performing skin antiseptic and aseptic technique for dressing the catheter insertion site. Educational interventions should be implemented to address the gaps regarding knowledge and practice regarding the prevention of CLABSIs and to ensure that nurses use evidence-based prevention interventions.

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Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

2017

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“…The study showed that colonization of the skin was more prominent in subclavian vein insertions than in the forearm region. 13,2015 Of the 1391 patients evaluated, 62% were male and 38% female, with a mean age of 59.8 years. A total of 249 patients were included in the study, with a mean age of 62 years and female prevalence (60%).…”

Section: 2016mentioning

confidence: 99%

“…12, The study, which (n = 1391). 13 The data referring to the results and conclusions of the studies analyzed were compiled in figure 3.…”

Section: Introductionmentioning

confidence: 99%

“…11,13 In one, the types of treatment by adjuvant and neoadjuvant chemotherapies were compared and it was noticed that treatment by neoadjuvant chemotherapy is associated with a higher risk of infection. 13 Regarding the other study, chemotherapy was compared to intravenous infusion of fluids in order to identify which solution presented the greatest risk for the development of infections. However, it was noticed that there was no significant difference between the infection rates of the analyzed solutions.…”

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confidence: 99%

“…In the same study, the underlying diagnosis (p <0.001), chemotherapy regimen (p <0.001), and antibiotic sensitivity (p = 0.01) were reported to be significant factors affecting duration of ICU use.14 These data were also observed in a study with a significant population (n = 1391), where the type of neoplasia, type of chemotherapy and infection were variables that influenced the lower longevity of the catheter (p <0.001). 13 A randomized clinical trial comparing saline solution versus heparin solution and the relationship with the onset of catheterrelated infection was found on the hepatocellularisation process of ICS and its relation to the onset of infections. 20 An infection rate was evidenced of 0.03 per 1000 days of catheter in the saline group and 0.10 per 1000 days of catheter in the heparin solution group.…”

mentioning

confidence: 99%

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Complicações infecciosas associadas ao cateter venoso central totalmente implantável

Reichembach¹,

Amorim²,

Oliveira

et al. 2017

Rev enferm UFPE on line.

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Objective: to seek scientific evidence on infectious complications associated with the use of a fully implantable central venous catheter in adult oncology patients. Method: integrative review, in which selection criteria and controlled descriptors were used, through the PICO strategy, to search for indexed articles in the Lilacs and Medline databases, from 2012 to 2017. A data collection instrument was used which covered: research topic, general objective, methodological characteristics, sample / population, intervention, control, results, conclusions and level of evidence. Results: 12 articles were included, which indicate that catheter-related infection, bloodstream infection and subcutaneous pouch infection were the most prevalent, and the microorganisms Staphylococcus aureus and Candida spp, the most common in the etiology. Conclusion: there was little scientific production about the research topic, with studies with a low level of evidence and absence of national publications, which demonstrates the need to deepen the thematic in the country through studies with strong methods for the significant evidence in the use of fully implantable central venous catheters. Descriptors: Nursing; Central Venous Catheterization; Catheter-Related Infections; Review. RESUMO Objetivo: buscar evidências científicas sobre complicações infecciosas associadas ao uso do cateter venoso central totalmente implantável em pacientes oncológicos adultos. Método: revisão integrativa, na qual se utilizaram critérios de seleção e descritores controlados, por meio da estratégia PICO, para a busca de artigos indexados nas bases de dados Lilacs e Medline, no período de 2012 a 2017. Foi empregado instrumento de coleta de dados que abrangeu: tema de pesquisa, objetivo geral, características metodológicas, amostra/população, intervenção, controle, resultados, conclusões e nível de evidência. Resultados: incluíram-se 12 artigos, os quais apontam que a infecção relacionada ao cateter, infecção da corrente sanguínea e a infecção da bolsa subcutânea foram as mais prevalentes, e os microrganismos Staphylococcus aureus e Candida spp, os mais comuns na etiologia. Conclusão: evidenciou-se escassa produção científica acerca da temática pesquisada, encontrando-se estudos com baixo nível de evidência e ausência de publicações nacionais, o que demonstra a necessidade de aprofundamento da temática no país por meio de estudos com métodos fortes para o levantamento de evidências significativas na utilização dos cateteres venosos centrais totalmente implantáveis. Descritores: Enfermagem; Cateterismo Venoso Central; Infecções Relacionadas a Cateter; Revisão. RESUMEN Objetivo: buscar evidencias científicas sobre complicaciones infecciosas asociadas al uso del catéter venoso central totalmente implantable en pacientes oncológicos adultos. Método: revisión integrativa, en la cual se utilizaron criterios de selección y descriptores controlados, por medio de la estrategia PICO, para la búsqueda de artículos indexados en las bases de datos Lilacs y Medline,...

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Risk factors for central line-associated bloodstream infection in pediatric oncology patients with a totally implantable venous access port: A cohort study

Taveira

Lima

Araújo

et al. 2016

Pediatr Blood Cancer

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Incidence and risk factors for central venous access port-related infection in Chinese cancer patients

Cited by 34 publications

References 22 publications

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy

Complicações infecciosas associadas ao cateter venoso central totalmente implantável

Risk factors for central line-associated bloodstream infection in pediatric oncology patients with a totally implantable venous access port: A cohort study

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