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Monday, November 12, 2012

Rate and Causes of Bloodstream Infections

Since outpatient monitoring is limited, patients going stead with CVCs are thought to be at increase assay for BSIs. This watch was designed to look at three things: the baseline rates for BSIs in pediatric hematology-oncology CVC patients; find factors for BSIs in these patients; and whether or not their was a seasonal variation in risk factors. Such patients are immunocompromised and so at increase risk for contagions.

Results of the study showed that there was an increased risk of infection for BSIs in pediatric hematology-oncology outpatients, and that it was seasonal, with a statistically higher estimate of such infections occurring in the summer and fall months than in the winter and spring months. None of these BSI patients were receiving collection plate therapy at the time of infection, sentiment this out as an infection source. What did appear to be a source of infection was the participation in recreational wet activities. However, recreational water activities were the same for patients and pull wiress. There was overly an increased risk associated with the use of transcutaneous CVCs.

Strengths and Weaknesses of the Research

One problem with the study was that the Fresno Children's Hospital was not keeping track of BSIs in CVC patients at the time of the study and so retrospective data may be somewhat questionable. The hospital had no list of hematology-oncology patients or hematol


It would have been interesting to divulge if the rate of infections increased erst the children left the infection declare regimen of a hospital setting and transferred to a family administered protocol. It would also have been interesting to see if different infection control protocols affected the rate of BSIs in the outpatient setting, or if retraining those liable for home care if a BSI did occur had some(prenominal) overconfident benefits.
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ogy-oncology patients with CVCs, so estimates had to made. This may have affected the accuracy of the results. evaluation of the surveillance capacity of infection control personnel at the hospital, home healthcare workers, administrative personnel, hematology-oncology clinic physicians, nurses, and administrative personnel was do only by interview and it does not appear that any actual observance of infection control techniques took place. Since the patients were all beingness cared for in the home by family members, the degree of knowledge of these caregivers and how considerably infection control techniques were actually practiced in the home is not known. No infection control protocol is inclined in the paper, nor is there any description of the training devoted to caregivers who will be taking care of the patient once they leave the hospital.

The study also points out the need for nurses to scoop every opportunity to educate the families of these pediatric hematology-oncology patients on chastise infection control procedures and to ensure that all family members taking pa
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