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Conference Paper: Surveillance on central venous catheter complications in Paediatric Haematology-Oncology Unit

TitleSurveillance on central venous catheter complications in Paediatric Haematology-Oncology Unit
Authors
KeywordsMedical sciences
Oncology medical sciences
Pediatrics
Issue Date2013
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1545-5017/
Citation
The 45th Congress of the International Society of Paediatric Oncology (SIOP 2013), Hong Kong, China, 25-28 September 2013. In Pediatric Blood & Cancer, 2013, v. 60 S3, p. 184, abstract no. P-0560 How to Cite?
AbstractPURPOSE/OBJECTIVE: To determine the incidence of central venous catheter (CVC) complications in haematology-oncology paediatric patients. MATERIALS AND METHODS: This is a prospective surveillance study of the CVC complications in January 2010-June 2012. Rate of catheter-associated infection was calculated base on the Centers for Disease Control and Prevention guidelines. RESULTS: There were 151 CVC for a total of 36634 catheter days were monitored during the study. Patients belonged to 4 major disease groups: leukaemia/lymphoma (57%), solid tumor (27%), other hematological diseases (13%), and primary immunodeficiencies (2%). Median age of the patients was 4.5 years (range 1month -18 years). Twenty-eight catheter-associated infections were detected, with 18 CVC associated bloodstream infection (CLABSI) and 10 exit site infection (ESI). Overall infection rate was 0.76 per 1000 CVC days (0.49 for CLABSI and 0.27 for ESI). Organisms responsible for CLABSI included Escherichia coli (22%), Bacillus (22%), Coagulase negative Staphylococcus (CNS) 22%, Pneumococcus (11%), and others (22%). Organisms cultured in ESI included Methicillin sensitive Staphylococcus aureus (MSSA) (n = 5), CNS (n = 4), and MSSA and CNS (n = 1). Fifty-one non-infective CVC complications (0.14 per 1000 CVC days) were detected which included blockage (56.9%), slipped out (15.7%), leakage (9.8%), cuff exposure (7.8%), malposition (7.8%), and others (2.0%). Twenty-nine CVC removed before end of treatment due to infection (24%), slipped out (24%), malposition of CVC (14%), blockage (10%), leakage (10%), and others (11%). CONCLUSIONS: Catheter-associated infections and catheter blockage were the most frequent complications in our paediatric patients with CVC. Despite of the low CLABSI rate when compared with pooled mean CLABSI rate (1.7 per 1000 CVC days) for all paediatric haematology-oncology units reported in 2010 National Healthcare Safety Network, staff training and patient education on CVC care should be reinforced to minimize infection. Moreover, continuous surveillance of the CVC complications is essential to improve infection control and quality of patient care.
DescriptionThis journal suppl. entitled: Supplement: SIOP Abstratcs: 45th Congress of the International Society of Paediatric Oncology (SIOP) ... 2013
Poster Session - Nursing: abstract no. P-0560
Persistent Identifierhttp://hdl.handle.net/10722/193632
ISSN
2015 Impact Factor: 2.634
2015 SCImago Journal Rankings: 1.505

 

DC FieldValueLanguage
dc.contributor.authorHung, CYen_US
dc.contributor.authorChiu, SYen_US
dc.contributor.authorShum, SKen_US
dc.contributor.authorChan, HYen_US
dc.contributor.authorCheuk, DKLen_US
dc.contributor.authorChiang, AKSen_US
dc.contributor.authorHa, SYen_US
dc.contributor.authorChan, GCFen_US
dc.date.accessioned2014-01-20T05:11:54Z-
dc.date.available2014-01-20T05:11:54Z-
dc.date.issued2013en_US
dc.identifier.citationThe 45th Congress of the International Society of Paediatric Oncology (SIOP 2013), Hong Kong, China, 25-28 September 2013. In Pediatric Blood & Cancer, 2013, v. 60 S3, p. 184, abstract no. P-0560en_US
dc.identifier.issn1545-5009-
dc.identifier.urihttp://hdl.handle.net/10722/193632-
dc.descriptionThis journal suppl. entitled: Supplement: SIOP Abstratcs: 45th Congress of the International Society of Paediatric Oncology (SIOP) ... 2013-
dc.descriptionPoster Session - Nursing: abstract no. P-0560-
dc.description.abstractPURPOSE/OBJECTIVE: To determine the incidence of central venous catheter (CVC) complications in haematology-oncology paediatric patients. MATERIALS AND METHODS: This is a prospective surveillance study of the CVC complications in January 2010-June 2012. Rate of catheter-associated infection was calculated base on the Centers for Disease Control and Prevention guidelines. RESULTS: There were 151 CVC for a total of 36634 catheter days were monitored during the study. Patients belonged to 4 major disease groups: leukaemia/lymphoma (57%), solid tumor (27%), other hematological diseases (13%), and primary immunodeficiencies (2%). Median age of the patients was 4.5 years (range 1month -18 years). Twenty-eight catheter-associated infections were detected, with 18 CVC associated bloodstream infection (CLABSI) and 10 exit site infection (ESI). Overall infection rate was 0.76 per 1000 CVC days (0.49 for CLABSI and 0.27 for ESI). Organisms responsible for CLABSI included Escherichia coli (22%), Bacillus (22%), Coagulase negative Staphylococcus (CNS) 22%, Pneumococcus (11%), and others (22%). Organisms cultured in ESI included Methicillin sensitive Staphylococcus aureus (MSSA) (n = 5), CNS (n = 4), and MSSA and CNS (n = 1). Fifty-one non-infective CVC complications (0.14 per 1000 CVC days) were detected which included blockage (56.9%), slipped out (15.7%), leakage (9.8%), cuff exposure (7.8%), malposition (7.8%), and others (2.0%). Twenty-nine CVC removed before end of treatment due to infection (24%), slipped out (24%), malposition of CVC (14%), blockage (10%), leakage (10%), and others (11%). CONCLUSIONS: Catheter-associated infections and catheter blockage were the most frequent complications in our paediatric patients with CVC. Despite of the low CLABSI rate when compared with pooled mean CLABSI rate (1.7 per 1000 CVC days) for all paediatric haematology-oncology units reported in 2010 National Healthcare Safety Network, staff training and patient education on CVC care should be reinforced to minimize infection. Moreover, continuous surveillance of the CVC complications is essential to improve infection control and quality of patient care.-
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1545-5017/-
dc.relation.ispartofPediatric Blood & Canceren_US
dc.rightsPediatric Blood & Cancer. Copyright © John Wiley & Sons, Inc.-
dc.subjectMedical sciences-
dc.subjectOncology medical sciences-
dc.subjectPediatrics-
dc.titleSurveillance on central venous catheter complications in Paediatric Haematology-Oncology Uniten_US
dc.typeConference_Paperen_US
dc.identifier.emailChan, HY: hoiyanc@hku.hken_US
dc.identifier.emailCheuk, DKL: klcheuk@hkucc.hku.hken_US
dc.identifier.emailChiang, AKS: chiangak@hku.hken_US
dc.identifier.emailHa, SY: syha@hku.hken_US
dc.identifier.emailChan, GCF: gcfchan@hku.hken_US
dc.identifier.authorityChiang, AKS=rp00403en_US
dc.identifier.authorityChan, GCF=rp00431en_US
dc.identifier.doi10.1002/pbc.24719-
dc.identifier.hkuros227225en_US
dc.identifier.volume60-
dc.identifier.issueS3-
dc.identifier.spage184-
dc.identifier.epage184-
dc.publisher.placeUnited States-

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