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Implementation of Supportive Care Program to Decrease CLABSI in a Middle East Pediatric Hematology and Oncology
Kurt Thompson1, Mahdi Shaheen2
1Sidra Medicine, Doha, Qatar.
Journal of Pediatric Hematology/Oncology Nursing
|November 3, 2023
Summary
Implementing daily bathing, oral care, and ambulation interventions significantly reduced central-line-associated bloodstream infections (CLABSI) in pediatric oncology patients. This initiative demonstrates achievable CLABSI-free care through supportive preventive measures.
Area of Science:
- Pediatric Hematology/Oncology
- Infectious Disease Prevention
- Healthcare Quality Improvement
Background:
- Central venous catheters (CVCs) are vital for pediatric cancer care but increase central-line-associated bloodstream infection (CLABSI) risk.
- Despite existing care bundles, preventing CLABSI in pediatric oncology remains a significant clinical challenge.
- Effective CLABSI prevention strategies are crucial for improving patient outcomes and reducing healthcare-associated infections.
Purpose of the Study:
- To implement and evaluate supportive preventive care interventions to decrease CLABSI rates in pediatric hematology/oncology patients.
- To assess the impact of daily bathing, oral care, and ambulation on CLABSI incidence.
- To identify factors contributing to sustained CLABSI-free periods in a tertiary hospital setting.
Main Methods:
- A mixed-methods approach was used to implement and monitor the 'Step 1-2-3' intervention (daily bathing, twice-daily oral care, thrice-daily ambulation).
- Interventions included targeted patient care protocols and comprehensive parent and staff education.
- Data on CLABSI events were collected and analyzed pre- and post-intervention.
Main Results:
- The pediatric oncology unit achieved 492 CLABSI-free days following the intervention's implementation.
- A temporary increase in CLABSI was observed during a period of high patient acuity and staff shortages.
- Sustained CLABSI-free status was maintained from January 9, 2022, through August 2022.
Conclusions:
- Extended CLABSI-free care periods are achievable in pediatric hematology/oncology units through consistent implementation of supportive preventive measures.
- Continuous data collection and analysis are essential for understanding CLABSI events and refining prevention strategies.
- The 'Step 1-2-3' intervention demonstrates a viable approach to enhancing patient safety and reducing infection rates.
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