Implementing the Surviving Sepsis Campaign in an Ambulatory Clinic for Patients With Hematologic Malignancies

Shelton, Brenda K.; Stanik-Hutt, Julie; Kane, Joyce; Jones, Richard J.

doi:10.1188/16.cjon.281-288

Cited by 13 publications

(14 citation statements)

References 33 publications

(30 reference statements)

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“…Timely delivery of antibiotics has been shown to vastly improve survival of septic children . Barriers in communication are well documented and have been shown to impact clinical understanding in a variety of healthcare settings .…”

Section: Discussionmentioning

confidence: 99%

Infection‐related mortality in Hispanic and non‐Hispanic children with cancer

Smits-Seemann

Pettit

et al. 2017

Pediatric Blood & Cancer

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Section: Discussionmentioning

confidence: 99%

Infection‐related mortality in Hispanic and non‐Hispanic children with cancer

Smits-Seemann

Pettit

et al. 2017

Pediatric Blood & Cancer

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“…The impact of a sepsis management guideline in cancer patients has been examined in 2 studies (Table 2). 25,26 Shelton et al 25 implemented a nursing-driven protocol of bundled 6-hour interventions for sepsis in an ambulatory care clinic for cancer patients and HCT recipients. Sepsis criteria were modified to include oncology-specific risks and symptoms.…”

Section: Sepsis Managementmentioning

confidence: 99%

Inpatient Antibiotic Stewardship Interventions in the Adult Oncology and Hematopoietic Stem Cell Transplant Population: A Review of the Literature

et al. 2019

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Objective: To review the use of antibiotic stewardship interventions in the adult oncology and hematopoietic cell transplantation (HCT) populations. Data Sources: A literature search of PubMed was performed from inception to October 31, 2019. The general search terms used were oncology, cancer, hematologic malignancy, antimicrobial stewardship, antibiotic stewardship, febrile neutropenia, neutropenic fever, de-escalation, discontinuation, prophylaxis, practice guidelines, clinical pathway, rapid diagnostics, Filmarray, Verigene, MALDI-TOF, antibiotic allergy, and antimicrobial resistance. Study Selection and Data Extraction: Relevant English-language studies describing interventions supported by the Infectious Diseases Society of America guidelines on “Implementing an Antibiotic Stewardship Program” were included. Data Synthesis: Antibiotic stewardship publications in the oncology population have increased in recent years. Studies have described the impact of stewardship interventions, including preauthorization, prospective audit and feedback, implementation of clinical pathways, de-escalation of empirical antibiotics for febrile neutropenia (FN) prior to neutrophil recovery, allergy assessments, and use of rapid diagnostic testing. Many of these interventions have been shown to decrease antibiotic use without increased negative consequences, such as affecting length of stay or mortality. Relevance to Patient Care and Clinical Practice: This review synthesizes available evidence for implementing antibiotic stewardship interventions, particularly de-escalation of antibiotics for FN and implementation of clinical pathways for FN and sepsis, in oncology patients and HCT recipients. Summary tables highlight studies and specific research needs for clinicians. Conclusions: Immunocompromised populations, including oncology patients, have often been excluded from stewardship studies. Antibiotic stewardship is effective in reducing antibiotic consumption and improving outcomes in this patient population, although more quality data are needed.

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“…Nurses were nominally cited as responsible for the care listed in 26 of the primary studies (2,13,(15)(16)(17)(19)(20)(21)(23)(24)27,29,(32)(33)(34)(35)(36)(37)(38)(39)41,(44)(45)(48)(49)(50) , and in the remaining 16 (5,(11)(12)14,18,22,(25)(26)28,(30)(31)40,(42)(43)(46)(47) , the nursing team was mentioned.…”

Section: Resultsmentioning

confidence: 99%

Nursing care for patients in post-transplantation of hematopoietic stem cells: an integrative review

et al. 2021

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Objectives: to analyze the available evidence on the nursing care provided to patients after hematopoietic stem cell transplantation. Methods: integrative review with the search for primary studies in four databases and a virtual health library. A broad search strategy was used, including research published in English, Brazilian Portuguese, or Spanish, between 2008 and 2018, totaling a sample of 42 studies. Results: the studies were grouped into three categories: multiple nursing care (n=19), first-line care (n=18), and self-management of care (n=5). Conclusions: nursing care is critical, comprising patients’ physical, psychological and social aspects. It occurs in hospital and home contexts, mainly involving technical actions and health guidance. The evidence identified provide subsidies for decision-making; however, most studies are of the non-experimental type, indicating the need for conducting intervention research.

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Implementing the Surviving Sepsis Campaign in an Ambulatory Clinic for Patients With Hematologic Malignancies

Cited by 13 publications

References 33 publications

Infection‐related mortality in Hispanic and non‐Hispanic children with cancer

Infection‐related mortality in Hispanic and non‐Hispanic children with cancer

Inpatient Antibiotic Stewardship Interventions in the Adult Oncology and Hematopoietic Stem Cell Transplant Population: A Review of the Literature

Nursing care for patients in post-transplantation of hematopoietic stem cells: an integrative review

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