scholarly journals Catheter care bundle and feedback to prevent central line–associated bloodstream infections in pediatric patients

2020 ◽  
Author(s):  
Hye-Kyung Cho
Keyword(s):  
Pediatric Patients ◽  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle ◽  
Catheter Care

Reducing central catheter-associated infections in pediatric surgery clinic: Implementation of a care bundle

2021 ◽  
Vol 11 (1) ◽  
pp. 57-65
Author(s):  
Eda Dolgun ◽  
Okgün Alcan Aliye ◽  
Ayşe Islamoğlu ◽  
Birsen Eroğlu ◽  
Meltem Polat ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Healthcare Professionals ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Recovery Process ◽  
Central Line ◽  
Care Bundle ◽  
Central Venous ◽  
Implementation Period ◽  
Bundle Compliance

Purpose: Central line care bundle comprises a few evidence-based interventions for improving patients' outcomes and recovery process. This semi-experimental study aimed to determine the effect of pediatric central line care bundle implementation on central line-associated bloodstream infections (CLABSI) rates. Materials and methods: A central line care bundle was implemented for pediatric surgery patients (n=70). Baseline observations were made to determine the central line care bundle compliance of healthcare professionals for 435 catheter days. Subsequently, physicians and nurses were educated about the central line care bundle. After the implementation period, 722 catheter days were observed to determine post-implementation compliance. Baseline CLABSI rates were compared with post-implementation CLABSI rates. Results: It was found that the entire central line care bundle compliance was 32.4% pre-implementation and 86.3% post-implementation. After education, the physicians' and nurses' central line care bundle compliance showed statistically significant improvement (p= 0.0001). There were five CLABSI events in the pre-implementation period and three CLABSI events in the post-implementation period. It was determined that the number of CLABSI decreased in the post-implementation period compared to the pre-implementation period, but this difference was not statistically significant (p= 0.207). Conclusions: Central line care bundle implementation decreased the CLABSI rates. It is recommended the Implementation of a central line care bundle on the care of pediatric surgery patients with the central venous catheter.

Central Venous Catheter Salvage in Ambulatory Central Line–Associated Bloodstream Infections

PEDIATRICS ◽  
2021 ◽  
Author(s):  
William J.H. Ford ◽  
David G. Bundy ◽  
Suzette Oyeku ◽  
Moonseong Heo ◽  
Lisa Saiman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pediatric Patients ◽  
Secondary Analysis ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Central Line ◽  
Type Number ◽  
Central Venous ◽  
Medical Centers ◽  
Associated Risk Factors

BACKGROUND Guidelines for treatment of central line–associated bloodstream infection (CLABSI) recommend removing central venous catheters (CVCs) in many cases. Clinicians must balance these recommendations with the difficulty of obtaining alternate access and subjecting patients to additional procedures. In this study, we evaluated CVC salvage in pediatric patients with ambulatory CLABSI and associated risk factors for treatment failure. METHODS This study was a secondary analysis of 466 ambulatory CLABSIs in patients <22 years old who presented to 5 pediatric medical centers from 2010 to 2015. We defined attempted CVC salvage as a CVC left in place ≥3 days after a positive blood culture result. Salvage failure was removal of the CVC ≥3 days after CLABSI. Successful salvage was treatment of CLABSI without removal of the CVC. Bivariate and multivariable logistic regression analyses were used to test associations between risk factors and attempted and successful salvage. RESULTS A total of 460 ambulatory CLABSIs were included in our analysis. CVC salvage was attempted in 379 (82.3%) cases. Underlying diagnosis, CVC type, number of lumens, and absence of candidemia were associated with attempted salvage. Salvage was successful in 287 (75.7%) attempted cases. Underlying diagnosis, CVC type, number of lumens, and absence of candidemia were associated with successful salvage. In patients with malignancy, neutropenia within 30 days before CLABSI was significantly associated with both attempted salvage and successful salvage. CONCLUSIONS CVC salvage was often attempted and was frequently successful in ambulatory pediatric patients presenting with CLABSI.

Teaming Up to Take Down Community-Acquired Bloodstream Infections: A Program Aimed at Educating and Training Nurses in the Community

2016 ◽  
Vol 21 (4) ◽  
pp. 217-222 ◽  
Author(s):  
Karie Falder-Saeed ◽  
Kristen McClain ◽  
Lindsey Patton ◽  
Melissa Langford ◽  
Jennifer Marusich ◽  
...  
Keyword(s):  
Education Program ◽  
Pediatric Patients ◽  
Bloodstream Infections ◽  
Central Line ◽  
Family Education ◽  
Oncology Patient ◽  
Complex Patients ◽  
Lecture Time ◽  
And Training ◽  
Extensive Family

Abstract Background: Advances in medical technology have allowed pediatric patients to be discharged home with complex devices, including central venous catheters (CVCs). For these patients to be safely discharged, families require training to care for these catheters. At a large children's hospital, extensive family education and training for CVCs was already established. However, community caregivers were not receiving the same training. In an effort to target these caregivers, an education program was designed and implemented in 2011. Methods: The program was originally designed and implemented by nurses on a gastroenterology unit and has expanded to include instructors from the vascular access team, hematology/oncology department, and pulmonary department. All community nurses providing care for pediatric patients in the region are welcome to attend the free class with education hours offered. The class is structured with lecture time and skills practice through simulation. Results: Since the program began in 2011, 34 classes have been offered and 305 nurses have attended from multiple home health companies and school districts in the region. Community-acquired central line-associated bloodstream infection (CLABSI) rates for the pediatric gastroenterology and oncology patient populations have decreased significantly since the class began. Conclusions: An education program targeting nurses in the community who care for complex patients with CVCs can decrease community-acquired infection rates and complications. This program can be designed and tailored for multiple patient populations with varying complexities and medical devices.

Effectiveness of a care bundle to reduce central line‐associated bloodstream infections

2015 ◽  
Vol 203 (3) ◽  
pp. 138-138 ◽  
Author(s):  
Damoon Entesari‐Tatafi ◽  
Neil Orford ◽  
Eugene Athan
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

scholarly journals Effect of Care Bundle Education Program on Nurses’ Performance Regarding Central Line-Associated Blood Stream Infection in High Risk Neonates

2020 ◽  
Vol 2 (2) ◽  
pp. 13
Author(s):  
Safaa A. F. Abou Zed ◽  
Amira A. Mohammed
Keyword(s):  
High Risk ◽  
Bloodstream Infection ◽  
Education Program ◽  
Bloodstream Infections ◽  
Structured Interview ◽  
Central Line ◽  
Care Bundle ◽  
Post Test ◽  
And Performance ◽  
Nurses Knowledge

Context: Catheter-related bloodstream infections are the most common type of nosocomial infections among those populations. Central line-associated bloodstream infection (CLABSI) is a preventable complication of the use of CVC. Aim: This study aimed to evaluate the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infections in high-risk neonates. Through the following: assessing nurses' knowledge and performance regarding central line-associated bloodstream infection in high-risk neonates, designing, implementing and evaluating the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infection in high-risk neonates. Methods: A quasi-experimental (pre/post-test) design was utilized to conduct this study at neonatal intensive care units affiliated to Ain Shams University Hospitals and Teaching Hospitals in Cairo. A convenient sample of forty-five 45 nurses was included in the study as a single study group. A structured interview questionnaire, nurses’ observation checklists were used to evaluate the effect of care bundle education on nurses’ performance regarding central line-associated bloodstream infection in high-risk neonates. The care bundle education program was premeditated as reference guidelines for nurses. Results: There were statistically significant differences between mean scores of the pre and post-test as regards nurses’ knowledge and practices regarding central line-associated bloodstream infection in high-risk neonates. Conclusion: The study revealed an unsatisfactory knowledge as well as an incompetent practice among nurses regarding central line-associated bloodstream infections in high-risk neonates before the care bundle education program. The research hypotheses are supported, and the care bundle education program achieved a significant improvement in nurses’ knowledge and performance regarding CLABSI in high-risk neonates. The current study recommended establishing educational centers in all hospitals for educating and updating the knowledge and performance of new nursing staff working in NICUs and supporting them by instructional brochure and illustrative booklets.

scholarly journals Central line-associated bloodstream infections in the intensive care unit: importance of the care bundle

2016 ◽  
Vol 69 (6) ◽  
pp. 599 ◽  
Author(s):  
Aynur Atilla ◽  
Zahide Doğanay ◽  
Hale Kefeli Çelik ◽  
Leman Tomak ◽  
Özgür Günal ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

Epidemiology of Central Line-Associated Bloodstream Infections and Empiric Use of Antibiotics among Pediatric Patients

2021 ◽  
Author(s):  
Amira Alfil ◽  
Mohammad Musbah AL-Tabbaa ◽  
Margaret Heger ◽  
Brian Barnacle ◽  
Jinma Ren ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Bloodstream Infections ◽  
Central Line

Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle

2010 ◽  
Vol 38 (6) ◽  
pp. 430-433 ◽  
Author(s):  
Karen Guerin ◽  
Julia Wagner ◽  
Keith Rains ◽  
Mary Bessesen
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle
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