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Titre : | Impact of flushing with aseptic non-touch technique using pre-filled flush or manually prepared syringes on central venous catheter occlusion and bloodstream infections in pediatric hemato-oncology patients : A randomized controlled study (2018) |
Auteurs : | Gülçin Özalp Gerceker ; Seda Ardahan Sevgili ; Figen Yardimci |
Type de document : | Article |
Dans : | European Journal of Oncology Nursing (Vol. 33, April 2018) |
Article en page(s) : | p. 78-84 |
Note générale : | https://doi.org/10.1016/j.ejon.2018.02.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cathétérisme veineux central ; Circulation sanguine ; Hématologie ; Infections ; Oncologie médicale ; Seringues |
Mots-clés: | Rinçage ; Technique aseptisée ; Occlusion du cathéter |
Résumé : |
Purpose
To compare standardized flushing methods with aseptic non-touch technique; (1) Manually prepared syringes (2) Single-use prefilled flush syringes. Method Forty-eight PHO patients with Hickman or Port catheters were recruited to participate in a prospective, randomized study. Standardized flushing methods with aseptic non-touch technique (ANTT) using single-use pre-filled flush syringes (intervention group) or manually prepared syringes (control group) also included the pulsatile technique, use of 10-mL syringe size with 0.9% NaCl for flushing, flushing once a day, flushing training of the nurses. The effects of standardized flushing methods on occlusion and CLABSI evaluated. Results Of the patients in the intervention group, 8.7% (n: 2) had catheter occlusion, while this rate was 20.0% (n: 5) in the control group. Of the patients in the intervention group, 8.7% (n: 2) had CLABSI, while this rate was 36.0% (n: 9) in the control group. While there was no difference in occlusion, there was a difference between the groups in terms of CLABSI development. In the intervention group, CLABSI rate was 1.9/1000 per catheter-days, in the control group CLABSI rate was 10.1/1000 per catheter-days. In the intervention group, occlusion rate was 1.9/1000 per catheter-days, in the control group, occlusion rate was 5.6/1000 per catheter-days. Conclusion Standardized flushing and single-use prefilled flush syringes are effective in reducing CLABSI rates in PHO patients. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |