Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients

Most children receiving cancer treatment require a central venous catheter (CVC), putting them at risk for central line–associated bloodstream infections (CLABSI). As patients are discharged home with a CVC in place, caregivers are expected to maintain the CVC following an in-hospital education sess...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of pediatric oncology nursing 2020-05, Vol.37 (3), p.204-211
Hauptverfasser: Altounji, Diane, McClanahan, Rachel, O’Brien, Roxanne, Murray, Paula
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 211
container_issue 3
container_start_page 204
container_title Journal of pediatric oncology nursing
container_volume 37
creator Altounji, Diane
McClanahan, Rachel
O’Brien, Roxanne
Murray, Paula
description Most children receiving cancer treatment require a central venous catheter (CVC), putting them at risk for central line–associated bloodstream infections (CLABSI). As patients are discharged home with a CVC in place, caregivers are expected to maintain the CVC following an in-hospital education session before their first discharge home. Following a review of the literature, the education process was modified to improve the quality of education for caregivers. While the existing step-by-step handbook was reviewed and deemed aligned with best practices, other materials were added for this project: a caregiver skills competency checklist, a handout reviewing oral care and hygiene in the home, and a guide for nurses on what materials to provide families at the time of diagnosis. Additionally, caregivers were required to receive two additional CVC care reinforcement sessions during subsequent admissions to the inpatient units, which involved redemonstrations of skills using the competency checklist. Home-acquired CLABSI in pre- and postintervention groups were compared, and compliance of reinforcement education was measured. Though no statistical significance was found, the odds of experiencing a CLABSI were found to be higher in the preintervention group for mucosal-barrier injury (odds ratio = 2.23; 95% confidence interval [0.43, 22.10]) and laboratory-confirmed bloodstream infections (odds ratio = 4.53; 95% confidence interval [0.59, 203.71]). The clinical significance of reducing home-acquired CLABSI has a positive impact on patient outcomes by decreasing morbidity and mortality, inpatient lengths of stay, and overall health care costs.
doi_str_mv 10.1177/1043454220907551
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2366641924</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1043454220907551</sage_id><sourcerecordid>2366641924</sourcerecordid><originalsourceid>FETCH-LOGICAL-c379t-2c75f976cd75f9f5a9bf8b578faa0245c7dbabce2b9a3aefba1fa1d5c678aab43</originalsourceid><addsrcrecordid>eNp1kLFO3TAUhi1UBBTYmZDHLmltJ46T8XILBelKINHO0YlzfDFKbLCdgU68A2_YJ6mjSztU6uJj6f_OZ_kn5Iyzz5wr9YWzqqxkJQRrmZKS75EjLktRNJVUH_I9x8WSH5KPMT4yxrls2AE5LAVnombtEfn5FXVAiNZt6RpdCjDSjXX46_VtFaPXFhIO9GL0fogpgxO9cQZ1st5FutLPsw05t46mB6TXfkJ6jyktttXk83mHQ1YEq-mt03702xd6B8nml-IJ2TcwRjx9n8fkx9Xl9_V1sbn9drNebQpdqjYVQitpWlXrYZlGQtubppeqMQBMVFKroYdeo-hbKAFND9wAH6SuVQPQV-Ux-bTzPgX_PGNM3WSjxnEEh36OnSjruq54KxaU7VAdfIwBTfcU7AThpeOsWxrv_m08r5y_2-d-wuHvwp-KM1DsgAhb7B79HFz-7f-FvwHXKYwE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2366641924</pqid></control><display><type>article</type><title>Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients</title><source>Access via SAGE</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Altounji, Diane ; McClanahan, Rachel ; O’Brien, Roxanne ; Murray, Paula</creator><creatorcontrib>Altounji, Diane ; McClanahan, Rachel ; O’Brien, Roxanne ; Murray, Paula</creatorcontrib><description>Most children receiving cancer treatment require a central venous catheter (CVC), putting them at risk for central line–associated bloodstream infections (CLABSI). As patients are discharged home with a CVC in place, caregivers are expected to maintain the CVC following an in-hospital education session before their first discharge home. Following a review of the literature, the education process was modified to improve the quality of education for caregivers. While the existing step-by-step handbook was reviewed and deemed aligned with best practices, other materials were added for this project: a caregiver skills competency checklist, a handout reviewing oral care and hygiene in the home, and a guide for nurses on what materials to provide families at the time of diagnosis. Additionally, caregivers were required to receive two additional CVC care reinforcement sessions during subsequent admissions to the inpatient units, which involved redemonstrations of skills using the competency checklist. Home-acquired CLABSI in pre- and postintervention groups were compared, and compliance of reinforcement education was measured. Though no statistical significance was found, the odds of experiencing a CLABSI were found to be higher in the preintervention group for mucosal-barrier injury (odds ratio = 2.23; 95% confidence interval [0.43, 22.10]) and laboratory-confirmed bloodstream infections (odds ratio = 4.53; 95% confidence interval [0.59, 203.71]). The clinical significance of reducing home-acquired CLABSI has a positive impact on patient outcomes by decreasing morbidity and mortality, inpatient lengths of stay, and overall health care costs.</description><identifier>ISSN: 1043-4542</identifier><identifier>EISSN: 1532-8457</identifier><identifier>DOI: 10.1177/1043454220907551</identifier><identifier>PMID: 32102609</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Caregivers - education ; Catheter-Related Infections - prevention &amp; control ; Central Venous Catheters - adverse effects ; Child ; Home Nursing ; Humans ; Neoplasms - nursing ; Nursing ; Professional-Family Relations ; Sepsis - prevention &amp; control</subject><ispartof>Journal of pediatric oncology nursing, 2020-05, Vol.37 (3), p.204-211</ispartof><rights>2020 by Association of Pediatric Hematology/Oncology Nurses</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-2c75f976cd75f9f5a9bf8b578faa0245c7dbabce2b9a3aefba1fa1d5c678aab43</citedby><cites>FETCH-LOGICAL-c379t-2c75f976cd75f9f5a9bf8b578faa0245c7dbabce2b9a3aefba1fa1d5c678aab43</cites><orcidid>0000-0003-3410-2577</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1043454220907551$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1043454220907551$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32102609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altounji, Diane</creatorcontrib><creatorcontrib>McClanahan, Rachel</creatorcontrib><creatorcontrib>O’Brien, Roxanne</creatorcontrib><creatorcontrib>Murray, Paula</creatorcontrib><title>Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients</title><title>Journal of pediatric oncology nursing</title><addtitle>J Pediatr Oncol Nurs</addtitle><description>Most children receiving cancer treatment require a central venous catheter (CVC), putting them at risk for central line–associated bloodstream infections (CLABSI). As patients are discharged home with a CVC in place, caregivers are expected to maintain the CVC following an in-hospital education session before their first discharge home. Following a review of the literature, the education process was modified to improve the quality of education for caregivers. While the existing step-by-step handbook was reviewed and deemed aligned with best practices, other materials were added for this project: a caregiver skills competency checklist, a handout reviewing oral care and hygiene in the home, and a guide for nurses on what materials to provide families at the time of diagnosis. Additionally, caregivers were required to receive two additional CVC care reinforcement sessions during subsequent admissions to the inpatient units, which involved redemonstrations of skills using the competency checklist. Home-acquired CLABSI in pre- and postintervention groups were compared, and compliance of reinforcement education was measured. Though no statistical significance was found, the odds of experiencing a CLABSI were found to be higher in the preintervention group for mucosal-barrier injury (odds ratio = 2.23; 95% confidence interval [0.43, 22.10]) and laboratory-confirmed bloodstream infections (odds ratio = 4.53; 95% confidence interval [0.59, 203.71]). The clinical significance of reducing home-acquired CLABSI has a positive impact on patient outcomes by decreasing morbidity and mortality, inpatient lengths of stay, and overall health care costs.</description><subject>Caregivers - education</subject><subject>Catheter-Related Infections - prevention &amp; control</subject><subject>Central Venous Catheters - adverse effects</subject><subject>Child</subject><subject>Home Nursing</subject><subject>Humans</subject><subject>Neoplasms - nursing</subject><subject>Nursing</subject><subject>Professional-Family Relations</subject><subject>Sepsis - prevention &amp; control</subject><issn>1043-4542</issn><issn>1532-8457</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLFO3TAUhi1UBBTYmZDHLmltJ46T8XILBelKINHO0YlzfDFKbLCdgU68A2_YJ6mjSztU6uJj6f_OZ_kn5Iyzz5wr9YWzqqxkJQRrmZKS75EjLktRNJVUH_I9x8WSH5KPMT4yxrls2AE5LAVnombtEfn5FXVAiNZt6RpdCjDSjXX46_VtFaPXFhIO9GL0fogpgxO9cQZ1st5FutLPsw05t46mB6TXfkJ6jyktttXk83mHQ1YEq-mt03702xd6B8nml-IJ2TcwRjx9n8fkx9Xl9_V1sbn9drNebQpdqjYVQitpWlXrYZlGQtubppeqMQBMVFKroYdeo-hbKAFND9wAH6SuVQPQV-Ux-bTzPgX_PGNM3WSjxnEEh36OnSjruq54KxaU7VAdfIwBTfcU7AThpeOsWxrv_m08r5y_2-d-wuHvwp-KM1DsgAhb7B79HFz-7f-FvwHXKYwE</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Altounji, Diane</creator><creator>McClanahan, Rachel</creator><creator>O’Brien, Roxanne</creator><creator>Murray, Paula</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3410-2577</orcidid></search><sort><creationdate>202005</creationdate><title>Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients</title><author>Altounji, Diane ; McClanahan, Rachel ; O’Brien, Roxanne ; Murray, Paula</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-2c75f976cd75f9f5a9bf8b578faa0245c7dbabce2b9a3aefba1fa1d5c678aab43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Caregivers - education</topic><topic>Catheter-Related Infections - prevention &amp; control</topic><topic>Central Venous Catheters - adverse effects</topic><topic>Child</topic><topic>Home Nursing</topic><topic>Humans</topic><topic>Neoplasms - nursing</topic><topic>Nursing</topic><topic>Professional-Family Relations</topic><topic>Sepsis - prevention &amp; control</topic><toplevel>online_resources</toplevel><creatorcontrib>Altounji, Diane</creatorcontrib><creatorcontrib>McClanahan, Rachel</creatorcontrib><creatorcontrib>O’Brien, Roxanne</creatorcontrib><creatorcontrib>Murray, Paula</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric oncology nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Altounji, Diane</au><au>McClanahan, Rachel</au><au>O’Brien, Roxanne</au><au>Murray, Paula</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients</atitle><jtitle>Journal of pediatric oncology nursing</jtitle><addtitle>J Pediatr Oncol Nurs</addtitle><date>2020-05</date><risdate>2020</risdate><volume>37</volume><issue>3</issue><spage>204</spage><epage>211</epage><pages>204-211</pages><issn>1043-4542</issn><eissn>1532-8457</eissn><abstract>Most children receiving cancer treatment require a central venous catheter (CVC), putting them at risk for central line–associated bloodstream infections (CLABSI). As patients are discharged home with a CVC in place, caregivers are expected to maintain the CVC following an in-hospital education session before their first discharge home. Following a review of the literature, the education process was modified to improve the quality of education for caregivers. While the existing step-by-step handbook was reviewed and deemed aligned with best practices, other materials were added for this project: a caregiver skills competency checklist, a handout reviewing oral care and hygiene in the home, and a guide for nurses on what materials to provide families at the time of diagnosis. Additionally, caregivers were required to receive two additional CVC care reinforcement sessions during subsequent admissions to the inpatient units, which involved redemonstrations of skills using the competency checklist. Home-acquired CLABSI in pre- and postintervention groups were compared, and compliance of reinforcement education was measured. Though no statistical significance was found, the odds of experiencing a CLABSI were found to be higher in the preintervention group for mucosal-barrier injury (odds ratio = 2.23; 95% confidence interval [0.43, 22.10]) and laboratory-confirmed bloodstream infections (odds ratio = 4.53; 95% confidence interval [0.59, 203.71]). The clinical significance of reducing home-acquired CLABSI has a positive impact on patient outcomes by decreasing morbidity and mortality, inpatient lengths of stay, and overall health care costs.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32102609</pmid><doi>10.1177/1043454220907551</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3410-2577</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1043-4542
ispartof Journal of pediatric oncology nursing, 2020-05, Vol.37 (3), p.204-211
issn 1043-4542
1532-8457
language eng
recordid cdi_proquest_miscellaneous_2366641924
source Access via SAGE; MEDLINE; Alma/SFX Local Collection
subjects Caregivers - education
Catheter-Related Infections - prevention & control
Central Venous Catheters - adverse effects
Child
Home Nursing
Humans
Neoplasms - nursing
Nursing
Professional-Family Relations
Sepsis - prevention & control
title Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-03T02%3A46%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Decreasing%20Central%20Line%E2%80%93Associated%20Bloodstream%20Infections%20Acquired%20in%20the%20Home%20Setting%20Among%20Pediatric%20Oncology%20Patients&rft.jtitle=Journal%20of%20pediatric%20oncology%20nursing&rft.au=Altounji,%20Diane&rft.date=2020-05&rft.volume=37&rft.issue=3&rft.spage=204&rft.epage=211&rft.pages=204-211&rft.issn=1043-4542&rft.eissn=1532-8457&rft_id=info:doi/10.1177/1043454220907551&rft_dat=%3Cproquest_cross%3E2366641924%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2366641924&rft_id=info:pmid/32102609&rft_sage_id=10.1177_1043454220907551&rfr_iscdi=true