Patient and central venous catheter related risk factors for blood stream infections in children receiving chemotherapy

Yacobovich, Joanne; Ben-Ami, Tal; Abdalla, Tameemi; Tamary, Hannah; Gal, Gilad; Weintraub, Michael; Yaniv, Isaac; Toren, Amos; Kenet, Gili; Revel‐Vilk, Shoshana

doi:10.1002/pbc.25281

Cited by 23 publications

(43 citation statements)

References 25 publications

(32 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]. Therefore, improving the quality of the health care is a key priority, since reduction of CLABSIs may be achieved through efforts with adherence to appropriate preventive measures in line with evidence-based recommendations [16,17].…”

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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“…In six studies (21,23,(25)(26)(27)(28) , the physician was mentioned as the most qualified professional for the in-…”

Section: Indication For Insertionmentioning

confidence: 99%

“…Yacobovich, (27) Rajan, (28) 2016 India Report the experience of inserting a PICC when, after its insertion, it was observed that the tip was located in the jugular vein but, after 24 hours, it had migrated to the superior vena cava.…”

Section: Narrative Review Pediatric Surgeonsmentioning

confidence: 99%

“…Figure 2. Synthesis of evidence on the use of PICC in children and adolescents undergoing oncology treatment INDICATION • Therapeutic (21)(22)(23)(24) • Type of cancer (23,25) • Responsible professional (21)(22)(23)(24)(25)(26)(27)(28) • Inherent patient characteristics (25) • Cost-benefit (26)…”

Section: Retrospective Cohort Studymentioning

confidence: 99%

“…• Chosen vein (21)(22)(23)(24) • Professional attire (21,22) • Patient preparation (21) • Analgesia (21,26) • Use of new technologies to visualize the venous network (23,25) • Localization of catheter tip (22,23,25,26,28) MAINTENANCE • Dressing type (21)(22)(23)(24)26) • Dressing change (21)(22)(23)(24)26) • Flush with solutions (21,23,24,26,27) • Antibiotics-prophylaxis (21,22) • Catheter desobstruction techniques (21,23) COMPLICATIONS • Catheter dislocation (28) • Phlebitis (22) • Obstruction (21,(23)(24)(25)(26)(27) • Rupture or leakage (21,22) • Accidental removal (22,23,26) • Venous thrombosis…”

Section: Insertionmentioning

confidence: 99%

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Cateter venoso central de inserção periférica em oncologia pediátrica: revisão de escopo

et al. 2019

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Objective: To map the scientifi c production about the use and maintenance of peripherally inserted central catheter (PICC) in children and adolescents undergoing oncology treatment. Methods: Scoping review, according to the method adapted and proposed by Levac, Colquhoun and O'Brien. Five stages were performed: identifi cation of the research question; search for relevant studies; selection of studies; extraction of the data; grouping, summarizing and presenting the results. The databases used were PubMed, CINAHL, Scopus, LILACS and Embase. Literature review articles or original articles were included, with qualitative or quantitative designs, which focused on peripherally inserted central catheters in children and adolescents, in any stage of the oncology treatment and care context, published in Portuguese, English and Spanish, between 2006 and Results: Searches in the databases returned 609 unique articles, nine of which constituted the fi nal sample. Five main themes were elaborated related to the use of the peripherally inserted central catheter: indication, insertion technique, catheter maintenance, related complications and outcomes of the use. Based on the results, the recommendations for the use of this device can be summarized, mainly related to: the treatment and type of neoplasm, selected veins, dressing types, main complications and outcomes. Conclusion: The peripherally inserted central catheter is a safe and reliable option for intravenous therapy in the pediatric oncology population. This study contributes to evidence the indication of its use for that population and appoints themes for future empirical studies. ResumoObjetivo: Conhecer a produção científi ca sobre a utilização e manutenção do cateter central de inserção periférica (CCIP) em crianças e adolescentes em tratamento oncológico. Métodos: Revisão do tipo Scoping Review, segundo o método adaptado e proposto por Levac, Colquhoun e O'Brien. Foram percorridas cinco etapas: identifi cação da questão de pesquisa; buscas por estudos relevantes; seleção de estudos; extração dos dados; agrupamento, resumo e apresentação dos resultados. Utilizaram-se as bases de dados PubMed, CINAHL, Scopus, LILACS e Embase. Foram incluídos artigos de revisão da literatura ou originais, de abordagem quantitativa ou qualitativa, que focalizassem o cateter venoso central de inserção periférica em crianças e adolescentes com câncer, em qualquer fase do tratamento oncológico e contexto de cuidado, publicados em português, ing lês e espanhol, no período de 2006 a 2017. Resultados: Buscas nas bases de dados capturaram 609 artigos únicos, dos quais nove compuseram a amostra fi nal. Foram elaborados cinco temas principais relacionados à utilização do cateter venoso central de inserção periférica: indicação, técnica de inserção, manutenção do cateter, complicações relacionadas e desfechos do uso. Os resultados permitem sintetizar as recomendações para a utilização deste dispositivo no que se refere, sobretudo, a: terapêutica e tipo de neoplasia, veias de escolhas, tipos d...

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Risk factors for central line–associated bloodstream infections in children with tunneled central venous catheters

Paioni

Kuhn

Strässle

et al. 2020

American Journal of Infection Control

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Patient and central venous catheter related risk factors for blood stream infections in children receiving chemotherapy

Abstract: Both patient and CVC-related factors are associated with higher risk of BSI in children receiving chemotherapy. The results of this study could be used in developing studies aiming to reduce the rate of BSIs in children with cancer.

Cited by 23 publications

References 25 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

Cateter venoso central de inserção periférica em oncologia pediátrica: revisão de escopo

Risk factors for central line–associated bloodstream infections in children with tunneled central venous catheters

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