1. Reduced central line infection rates in children with leukemia following caregiver training
- Author
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Rossano Dello Iacovo, Joshua K. Schaffzin, Alfredo Guarino, Andrea Lo Vecchio, Eliana Ruberto, Vincenzo Poggi, Grazia Isabella Continisio, Loredana Saggiomo, Maria Angela Caiazzo, D. Mambretti, Sara Crispo, and Danila Russo
- Subjects
Acute leukemia ,education.field_of_study ,Pediatrics ,medicine.medical_specialty ,Central Line Infection ,business.industry ,Incidence (epidemiology) ,Population ,Context (language use) ,Retrospective cohort study ,General Medicine ,medicine.disease ,03 medical and health sciences ,Leukemia ,0302 clinical medicine ,030225 pediatrics ,030220 oncology & carcinogenesis ,Intervention (counseling) ,medicine ,education ,business - 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
- Published
- 2016