Infections are a leading cause of morbidity and mortality in children with acute leukemia. Central-line (CL) devices increase this population's risk of serious infections.Within the context of a quality improvement (QI) project, we tested the effect of caregiver education on CL management on the CL-associated bloodstream infection (CLABSI) rate among children with acute leukemia seen at a large referral center in Italy. The intervention consisted of 9 in-person sessions for education and practice using mannequins and children.One hundred and twenty caregivers agreed to participate in the initiative. One hundred and five (87.5%) completed the training, 5 (4.1%) withdrew after the first session, and 10 (8.3%) withdrew during practical sessions. After educational intervention, the overall CLABSI rate was reduced by 46% (from 6.86 to 3.70/1000 CL-days). CLABSI rate was lower in children whose caregivers completed the training (1.74/1000 CL-days, 95% CI 0.43-6.94) compared with those who did not receive any training (12.2/1000 CL-days, 95% CI 7.08-21.0, P < 0.05) or were in-training (3.96/1000 CL-days, 95% CI 1.98-7.91) at the time of infection.Caregiver training in CL management, applied within a multifaceted QI approach, reduced the rate of CLABSI in children with acute leukemia. Specific training and active involvement of caregivers in CL management may be effective to reduce CLABSI in high-risk children.

Reduced central line infection rates in children with leukemia following caregiver training / LO VECCHIO, Andrea; Schaffzin, Joshua K.; Ruberto, Eliana; Caiazzo, MARIA ANGELA; Saggiomo, Loredana; Mambretti, Daniela; Russo, Danila; Crispo, Sara; Continisio, GRAZIA ISABELLA; Dello Iacovo, Rossano; Poggi, Vincenzo; Guarino, Alfredo. - In: MEDICINE. - ISSN 0025-7974. - 95:25(2016), p. e3946. [10.1097/MD.0000000000003946]

Reduced central line infection rates in children with leukemia following caregiver training

LO VECCHIO, ANDREA;RUBERTO, ELIANA;CAIAZZO, MARIA ANGELA;MAMBRETTI, DANIELA;CONTINISIO, GRAZIA ISABELLA;POGGI, VINCENZO;GUARINO, ALFREDO
2016

Abstract

Infections are a leading cause of morbidity and mortality in children with acute leukemia. Central-line (CL) devices increase this population's risk of serious infections.Within the context of a quality improvement (QI) project, we tested the effect of caregiver education on CL management on the CL-associated bloodstream infection (CLABSI) rate among children with acute leukemia seen at a large referral center in Italy. The intervention consisted of 9 in-person sessions for education and practice using mannequins and children.One hundred and twenty caregivers agreed to participate in the initiative. One hundred and five (87.5%) completed the training, 5 (4.1%) withdrew after the first session, and 10 (8.3%) withdrew during practical sessions. After educational intervention, the overall CLABSI rate was reduced by 46% (from 6.86 to 3.70/1000 CL-days). CLABSI rate was lower in children whose caregivers completed the training (1.74/1000 CL-days, 95% CI 0.43-6.94) compared with those who did not receive any training (12.2/1000 CL-days, 95% CI 7.08-21.0, P < 0.05) or were in-training (3.96/1000 CL-days, 95% CI 1.98-7.91) at the time of infection.Caregiver training in CL management, applied within a multifaceted QI approach, reduced the rate of CLABSI in children with acute leukemia. Specific training and active involvement of caregivers in CL management may be effective to reduce CLABSI in high-risk children.
2016
Reduced central line infection rates in children with leukemia following caregiver training / LO VECCHIO, Andrea; Schaffzin, Joshua K.; Ruberto, Eliana; Caiazzo, MARIA ANGELA; Saggiomo, Loredana; Mambretti, Daniela; Russo, Danila; Crispo, Sara; Continisio, GRAZIA ISABELLA; Dello Iacovo, Rossano; Poggi, Vincenzo; Guarino, Alfredo. - In: MEDICINE. - ISSN 0025-7974. - 95:25(2016), p. e3946. [10.1097/MD.0000000000003946]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/639308
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