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Reducing central venous catheter-related bloodstream infections in children with cancer.

Publication ,  Journal Article
Horvath, B; Norville, R; Lee, D; Hyde, A; Gregurich, M; Hockenberry, M
Published in: Oncology nursing forum
March 2009

To determine whether a comprehensive educational program influenced the incidence of hub colonization of central venous catheters (CVCs) and bloodstream infection rates in children with cancer, to identify risk factors related to infection rates, and to determine the impact of an educational program on nurses' knowledge of CVC care for children with cancer.Prospective, longitudinal.Pediatric cancer center in a large children's hospital in the southwestern United States.51 catheter hub cultures were obtained from 27 children with cancer, and 121 nurses participated in the educational intervention.CVC hub cultures were obtained prior to and three months after an educational intervention. A written pre- and posteducation assessment was used to evaluate the nurses' learning.Hub colonization and bloodstream infection rates.Post-test mean score of 87% was significantly higher than the pretest mean score of 72%. Prior to the education program, 57% of the hubs were culture positive, and after the educational program, the proportion of culture-positive hubs was reduced to 36%.A comprehensive educational program increases nurses' knowledge of CVC care and reduces CVC hub colonization and catheter-related bloodstream infections in children with cancer.Patient and family participation in practice changes is very important because they have the most to gain. Additional research evaluating the relationship between hub colonization and subsequent bloodstream infection in a larger sample is warranted.

Duke Scholars

Published In

Oncology nursing forum

DOI

EISSN

1538-0688

ISSN

0190-535X

Publication Date

March 2009

Volume

36

Issue

2

Start / End Page

232 / 238

Related Subject Headings

  • Southwestern United States
  • Sepsis
  • Risk Factors
  • Prospective Studies
  • Program Evaluation
  • Program Development
  • Pediatric Nursing
  • Oncology Nursing
  • Nursing Staff, Hospital
  • Nursing Education Research
 

Citation

APA
Chicago
ICMJE
MLA
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Horvath, B., Norville, R., Lee, D., Hyde, A., Gregurich, M., & Hockenberry, M. (2009). Reducing central venous catheter-related bloodstream infections in children with cancer. Oncology Nursing Forum, 36(2), 232–238. https://doi.org/10.1188/09.onf.232-238
Horvath, Brandi, Robbie Norville, Deborah Lee, Annie Hyde, MaryAnn Gregurich, and Marilyn Hockenberry. “Reducing central venous catheter-related bloodstream infections in children with cancer.Oncology Nursing Forum 36, no. 2 (March 2009): 232–38. https://doi.org/10.1188/09.onf.232-238.
Horvath B, Norville R, Lee D, Hyde A, Gregurich M, Hockenberry M. Reducing central venous catheter-related bloodstream infections in children with cancer. Oncology nursing forum. 2009 Mar;36(2):232–8.
Horvath, Brandi, et al. “Reducing central venous catheter-related bloodstream infections in children with cancer.Oncology Nursing Forum, vol. 36, no. 2, Mar. 2009, pp. 232–38. Epmc, doi:10.1188/09.onf.232-238.
Horvath B, Norville R, Lee D, Hyde A, Gregurich M, Hockenberry M. Reducing central venous catheter-related bloodstream infections in children with cancer. Oncology nursing forum. 2009 Mar;36(2):232–238.

Published In

Oncology nursing forum

DOI

EISSN

1538-0688

ISSN

0190-535X

Publication Date

March 2009

Volume

36

Issue

2

Start / End Page

232 / 238

Related Subject Headings

  • Southwestern United States
  • Sepsis
  • Risk Factors
  • Prospective Studies
  • Program Evaluation
  • Program Development
  • Pediatric Nursing
  • Oncology Nursing
  • Nursing Staff, Hospital
  • Nursing Education Research