The evaluation of Candida-related central line-related bloodstream infections in pediatric cancer patients: A pre- and post-intervention study

Author:

Devrim İlker1ORCID,Celebi Miray Yılmaz2,Karakaya Nurgul1,Sahinkaya Sahika2,Acar Sultan Okur1,Cem Ela2,Demirağ Bengü1,Oruc Yeliz2,Kara Aybuke Akaslan2,Oymak Yesim1,Karapınar Tuba Hilkay1,Bayram Nuri1

Affiliation:

1. Department of Pediatric Hematology and Oncology, Dr Behcet Uz Child Disease and Surgery Training and Research Hospital, Izmir, Turkey

2. Department of Pediatric Infectious Diseases, Dr Behcet Uz Child Disease and Surgery Training and Research Hospital, Izmir, Turkey

Abstract

Aim/Objections The purpose of this study was to assess the efficacy of a central line maintenance bundle in preventing catheter-related (implanted venous access devices, port) Candida bloodstream infections. Methods The study encompassed two distinct time periods, namely, pre-bundle and bundle. The number of catheter-related bloodstream infections (CRBSI) episodes per catheter days for each timeframe was determined. Findings/Results Upon implementation of the central line bundle, the rate of CRBSI reduced significantly from 4.27 per 1000 central line days in the pre-bundle period to 1.0 per 1000 central line days in the bundle period ( p < .001). Discussion Using a central line bundle to avoid CRBSIs in pediatric cancer patients with ports led to a significant decrease in Candida species-related CRBSIs.

Publisher

SAGE Publications

Subject

Infectious Diseases,Advanced and Specialized Nursing,Public Health, Environmental and Occupational Health,Health Policy

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