Risk factors for catheter-related infection in children with cancer: A systematic review and meta-analysis

Rabelo, Bruna Salgado; Alvarenga, Kevin Augusto Farias de; Miranda, Jhon Wesley Fernandes Bragança; Fagundes, Thales Pardini; Cancela, Camila Silva Peres; Romanelli, Roberta Maia de Castro; Rodrigues, Karla Emília de Sá

doi:10.1016/j.ajic.2022.05.005

Cited by 5 publications

(8 citation statements)

References 20 publications

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“…The aim was to obtain comprehensive data on both participant background and their specific experiences with the topic. [1][2][3][4][5][6][7][8][9][10][11]…”

Section: Survey Formmentioning

confidence: 99%

“…5,6 In the long term, skin necrosis, catheter breakage, embolism, infection, catheter occlusion and disconnection, extravasation of fluids, difficulty in detecting the port, and decreased aspiration of blood may occur. [5][6][7] Such complications can lead to the removal of the TIVAD and disrupt the treatment plan. In addition, due to these complications, length of stay, hospitalization rate, and treatment cost may increase.…”

Section: Introductionmentioning

confidence: 99%

“…Short-term complications include pneumonia, hemothorax, malposition, malfunction, arrhythmia, cardiac perforation, hematoma, embolism, arteriovenous fistula, left thoracic duct lesion, and phrenic or brachial plexus lesion 5,6. In the long term, skin necrosis, catheter breakage, embolism, infection, catheter occlusion and disconnection, extravasation of fluids, difficulty in detecting the port, and decreased aspiration of blood may occur 5-7. Such complications can lead to the removal of the TIVAD and disrupt the treatment plan.…”

Section: Introductionmentioning

confidence: 99%

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Totally Implantable Venous Access Device Care Practices and Experiences of Pediatric and Adult Oncology Nurses

Gündogdu,

Semerci,

Bay

2024

Journal of Infusion Nursing

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This study aimed to determine the practices of nurses working in pediatric and adult oncology clinics regarding totally implantable venous access device (TIVAD) care. The descriptive study was conducted with 227 oncology nurse members of the Oncology Nursing Association. The data were collected online with a survey form, which included questions about the participants’ sociodemographic characteristics, professional experience, and TIVAD implementation practices. Descriptive statistics and ꭓ2 tests were used for the analysis of the data. It was determined that 44.1% of the nurses used 0.9% NaCl for active TIVAD flushing; 15.9% of them used a positive-pressure 0.9% NaCl-filled syringe; 12.3% used antireflux connectors; 85.5% used manual positive pressure technique; and 53.7% used the pulsatile technique. A statistical difference was found between nurses’ training on TIVAD care and TIVAD occlusion rate in the clinic, TIVAD infection rate, following the guidelines, and using the pulsatile technique (P < .05). This study revealed that there are differences in the practices for TIVAD care and that the recommendations in the literature/guidelines are not implemented at the desired level to ensure continuity and prevent complications.

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“…The aim was to obtain comprehensive data on both participant background and their specific experiences with the topic. [1][2][3][4][5][6][7][8][9][10][11]…”

Section: Survey Formmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Totally Implantable Venous Access Device Care Practices and Experiences of Pediatric and Adult Oncology Nurses

Gündogdu,

Semerci,

Bay

2024

Journal of Infusion Nursing

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“…Central venous catheters (CVCs) are a vital part of the critical care and management of pediatric patients in intensive care units. 1 2 In neonatal and pediatric intensive care units, these catheters are frequently used for intravenous applications and hemodynamic monitoring. 3 4 One of the main issues associated with the use of CVCs is catheter-related bloodstream infection (CRBSI).…”

Section: Introductionmentioning

confidence: 99%

“…2 Despite significant efforts to reduce deleterious effects over the past few decades, CRBSIs are remaining among the most common, dangerous, and expensive health care-associated infections in the pediatric population. 1 3 5 8 However, it is believed that 65 to 70% of CRBSIs might be prevented. 9 One of the most important steps in the prevention of CRBSIs is nursing practices.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Chlorhexidine-Impregnated Central Venous Catheter Dressing for Preventing Catheter-Related Bloodstream Infections in Pediatric Patients: A Systematic Review and Meta-Analysis Study

Benligül

Bektaş

2023

J Pediatr Infect Dis

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Objective The study's objective was to use meta-analysis to assess the effectiveness of a dressing impregnated with chlorhexidine in preventing catheter-related bloodstream infections (CRBSIs) in pediatric patients. Methods The study was conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. A comprehensive search of 18 databases was conducted up to 5 March 2020 to identify related studies. Following the evaluation of the methodological quality, 8 studies, 1,584 catheters in 1,556 patients were added to the meta-analysis. The odds ratio and Hedge's G effect size value were employed to analyze the data. Either a fixed-effects model or a random-effects model was used to compute the effect size value with 95% confidence intervals (CIs). The heterogeneity of effect sizes was investigated using Cochrane Q statistics, I 2, and Tau2 tests. To test for publication bias, funnel plot, Orwin's safe n number, Begg and Mazumdar rank correlation, Egger test, and Duval and Tweedie's trim and fill procedures were all utilized. Results The catheter colonization risk was lowered by 50.7% by the chlorhexidine-impregnated (C-I) dressing (odds ratio [OR] = 0.493 [%95 CI: 0.360–0.675]; p < 0.001). The use of C-I dressing was associated with a trend toward a decrease in CRBSIs, while this association was not statistically significant (OR = 0.858 [%95 CI: 0.567–1.300]; p = 0.471). Conclusion The use of C-I dressing can effectively reduce the risk of catheter colonization, and it is also a helpful tactic in lowering CRBSIs in pediatric patients with central venous catheters, according to the findings of this meta-analysis.

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Infections in Children with Cancer Admitted in an Oncology Reference Hospital: A Cross-sectional Study

Filho¹,

Ribeiro²,

Nascimento³

et al. 2023

Curr Microbiol

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Risk factors for catheter-related infection in children with cancer: A systematic review and meta-analysis

Cited by 5 publications

References 20 publications

Totally Implantable Venous Access Device Care Practices and Experiences of Pediatric and Adult Oncology Nurses

Totally Implantable Venous Access Device Care Practices and Experiences of Pediatric and Adult Oncology Nurses

Effectiveness of Chlorhexidine-Impregnated Central Venous Catheter Dressing for Preventing Catheter-Related Bloodstream Infections in Pediatric Patients: A Systematic Review and Meta-Analysis Study

Infections in Children with Cancer Admitted in an Oncology Reference Hospital: A Cross-sectional Study

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