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Reducing central venous catheter-related bloodstream infections in children with cancer

Brandi Horvath1, Robbie Norville, Deborah Lee

  • 1Center for Evidence-Based Practice and Clinical Research, Texas Children's Hospital, Houston, USA. bmhorvat@txccc.org

Oncology Nursing Forum
|March 11, 2009
PubMed

Insights

A comprehensive educational program significantly improved nurses' knowledge and reduced central venous catheter (CVC) hub colonization and bloodstream infections in pediatric cancer patients.

Area of Science:

  • Pediatric Oncology Nursing
  • Infection Prevention and Control
  • Clinical Education

Background:

  • Central venous catheters (CVCs) are essential for pediatric cancer patients but pose a risk for hub colonization and bloodstream infections.
  • Effective nursing education is crucial for implementing best practices in CVC care to mitigate infection risks.

Purpose of the Study:

  • To evaluate the impact of a comprehensive educational program on CVC hub colonization and bloodstream infection rates in children with cancer.
  • To assess the effect of the educational intervention on nurses' knowledge regarding CVC care.
  • To identify risk factors associated with infection rates in this vulnerable population.

Main Methods:

  • A prospective, longitudinal study was conducted at a pediatric cancer center.
  • The study involved 27 children with cancer and 121 participating nurses.
  • Central venous catheter hub cultures were collected before and after the educational intervention, alongside pre- and post-education knowledge assessments for nurses.

Main Results:

  • Nurses' post-education assessment scores (87%) were significantly higher than pre-education scores (72%).
  • The incidence of positive CVC hub cultures decreased from 57% before the intervention to 36% after the program.
  • A reduction in catheter-related bloodstream infections was observed following the educational initiative.

Conclusions:

  • A comprehensive educational program effectively enhances nurses' knowledge of CVC care.
  • The educational intervention led to a significant reduction in CVC hub colonization and associated bloodstream infections in pediatric cancer patients.
  • Patient and family engagement in practice changes is vital for successful infection control outcomes.
Abstract

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