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Guidelines for Elective Pediatric Fiberoptic Intubation

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Published on: January 17, 2011

Implementing evidence-based nursing practice in the pediatric intensive care unit.

Lisa M Morgan¹, Dorothy J Thomas

¹Nova Southeastern University, Miami, FL, USA. Anchoredsoul@aol.com

Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society

|April 7, 2007

Summary

Implementing evidence-based practices, including maximum barrier precautions and chlorhexidine use, significantly reduces catheter-related bloodstream infections (CR-BSIs) in pediatric intensive care units. Consistent monitoring further enhances these infection control efforts.

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Published on: August 25, 2014

Area of Science:

Pediatric critical care medicine
Infectious disease prevention
Healthcare epidemiology

Background:

Central venous catheters (CVCs) are essential in pediatric care but increase the risk of catheter-related bloodstream infections (CR-BSIs).
Rising CR-BSI rates necessitate effective, evidence-based interventions to protect vulnerable pediatric patients.

Purpose of the Study:

To outline and emphasize evidence-based strategies for reducing CR-BSIs in pediatric patients with CVCs.
To highlight the impact of implementing comprehensive infection control bundles on CR-BSI rates.

Main Methods:

Review and synthesis of current evidence-based practices for CVC insertion and maintenance.
Implementation of bundled interventions including maximum barrier precautions, hand hygiene, 2% chlorhexidine skin antisepsis, chlorhexidine-impregnated patches, and timely catheter removal.
Monthly infection surveillance and monitoring of CR-BSI rates per 1,000 catheter days.

Main Results:

Adherence to evidence-based strategies, including chlorhexidine-impregnated patches and dressings, is associated with reduced CR-BSI incidence.
Bundled implementation and consistent surveillance have led to significant decreases in CR-BSI rates in pediatric intensive care units.
Key interventions include meticulous insertion techniques, antiseptic use, and appropriate catheter management.

Conclusions:

Comprehensive evidence-based bundles are effective in decreasing CR-BSIs in pediatric intensive care settings.
Continued vigilance through infection surveillance and adherence to best practices are crucial for sustained CR-BSI reduction.
Optimizing CVC care through standardized protocols is vital for patient safety.