Changes of Etiology in Health Care Acquired Blood Stream Infection in Pediatric Patients in a Pediatric Hematology-oncology Unit in Mexico City

2013 ◽  
Vol 41 (6) ◽  
pp. S144-S145
Author(s):  
Hilda G. Hernandez ◽  
Kyle M. Johnson ◽  
Miguela Caniza ◽  
Guadalupe Aparicio ◽  
Esperanza Lucas ◽  
...  
Keyword(s):  
Health Care ◽  
Mexico City ◽  
Pediatric Patients ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Pediatric Hematology ◽  
Oncology Unit

Uniform national denominator definitions for infection control clinical indicators: surgical site and health care associated blood stream infection

2001 ◽  
Vol 6 (2) ◽  
pp. 47-53 ◽  
Author(s):  
E. Auricht ◽  
J. Borgert ◽  
M. Butler ◽  
H. Cadwallader ◽  
P. Collignon ◽  
...  
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Clinical Indicators

scholarly journals Central line related blood stream infection in children with cancer, a five year experience from a tertiary paediatric oncology unit

2019 ◽  
Vol 4 (2) ◽  
pp. S17
Author(s):  
N. Divya ◽  
Joshi Jayateertha ◽  
P. Sadashiva Rao ◽  
Andey Sirisha ◽  
Bhat KamalakshiG ◽  
...  
Keyword(s):  
Blood Stream Infection ◽  
Blood Stream ◽  
Central Line ◽  
Paediatric Oncology ◽  
Children With Cancer ◽  
Oncology Unit

scholarly journals Surveilans Pasif dan Aktif Kejadian Infeksi Terkait Pelayanan Kesehatan di RSUD Provinsi NTB, 2017

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Eustachius Hagni Wardoyo ◽  
Edi Prasetyo Wibowo ◽  
I Gede Jayantika ◽  
I Gst Alit Rai Sudiadnya ◽  
Rolly Armand
Keyword(s):  
Health Care ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Central Line ◽  
Ventilator Associated Pneumonia ◽  
Site Infection ◽  
Health Care Associated Infections

Pendahuluan: Surveilans Health-care Associated Infections (HAIs) atau kejadian infeksi terkait pelayanan kesehatan dapat dilakukan baik secara aktif maupun pasif sesuai sumber daya yang dimiliki. Penelitian ini bertujuan mengetahui insidensi dan perbandingan hasil surveilans pasif dan aktif 4 jenis HAIs di RSUD Provinsi Nusa Tenggara Barat periode Januari-Oktober 2017. Empat jenis HAIs tersebut adalah Ventilator-associated Pneumonia (VAP), Catheter-associated Urinary Tract Infection (CAUTI), Central Line-associated Blood Stream Infection (CLABSI) dan Surgical Site infection (SSI). Metode: Surveilans pasif menggunakan data sekunder dengan menelusuri rekam medis, sedangkan surveilans aktif berdasarkan laporan Tim Pencegahan dan Pengendalian Infeksi (PPI). Hasil: Tidak ada perbedaan indikator yang digunakan dalam form VAP dan CLABSI pada surveilans pasif dan aktif. Namun pada form CAUTI dan SSI tidak mencantumkan gejala infeksi dan gejala panas di lokasi infeksi pada surveilans aktif. Perbandingan hasil surveilans pasif dan aktif berturut-turut adalah VAP 24,9 dan 0 per 1.000 ventilator days, CAUTI 49 dan 12 per 1.000 catheter days, CLABSI 18 dan 9 per 1.000 central line days, serta SSI 1,9 dan 1,4%. Kesimpulan: Ada perbedaan insidensi keempat jenis HAIs pada surveilans pasif dan aktif, karena penggunaan metodologi yang berbeda.

scholarly journals Clinical Significance of Isolates Known to Be Blood Culture Contaminants in Pediatric Patients

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 696
Author(s):  
Sejong Chun ◽  
Cheol-In Kang ◽  
Yae-Jean Kim ◽  
Nam Yong Lee
Keyword(s):  
Blood Culture ◽  
Clinical Significance ◽  
Medical Records ◽  
Pediatric Patients ◽  
Blood Stream Infection ◽  
Single Case ◽  
Pediatric Population ◽  
Blood Stream ◽  
Coagulase Negative Staphylococcus ◽  
Viridans Group Streptococcus

Background and objectives: The objective of this study was to investigate the clinical significance of isolates from blood stream infection known to be blood culture contaminants in pediatric patients. Materials and Methods: Microbiological reports and medical records of all blood culture tests issued from 2002 to 2012 (n = 76,331) were retrospectively reviewed. Evaluation for potential contaminants were done by reviewing medical records of patients with the following isolates: coagulase-negative Staphylococcus, viridans group Streptococcus, Bacillus, Corynebacterium, Micrococcus, Aerococcus, and Proprionibacterium species. Repeated cultures with same isolates were considered as a single case. Cases were evaluated for their status as a pathogen. Results: Coagulase-negative Staphylococcus had clinical significance in 23.8% of all cases. Its rate of being a true pathogen was particularly high in patients with malignancy (43.7%). Viridans group Streptococcus showed clinical significance in 46.2% of all cases. Its rate of being a true pathogen was similar regardless of the underlying morbidity of the patient. The rate of being a true pathogens for remaining isolates was 27.7% for Bacillus and 19.0% for Corynebacterium species. Conclusions: Coagulase-negative Staphylococcus and viridans group Streptococcus isolates showed high probability of being true pathogens in the pediatric population, especially in patients with underlying malignancy.

The Social Determinants of Nursing Retention in a Pediatric Hematology/Oncology Unit

2018 ◽  
Vol 35 (6) ◽  
pp. 417-427 ◽  
Author(s):  
Paula R. Mahon
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Allied Health ◽  
Care Staff ◽  
Health Care Staff ◽  
Nursing Retention ◽  
Allied Health Professions ◽  
Pediatric Hematology ◽  
The Social ◽  
Oncology Unit

Pediatric hematology/oncology units (PHOUs) are highly paced, stressful environments and can be difficult areas to work. Thus, these units can present issues when it comes to both recruiting and retaining health care professionals (HCPs). There is scant research addressing how the environment of a PHOU contribute to a HCP’s desire to stay or leave this environment. To conduct this project, a critical ethnographic approach was used. The researcher conducted semistructured interviews ( n = 29), which included nurses ( n = 21), physicians ( n = 4), and allied health care staff ( n = 4). This sample represented approximately one third of staff in each category. Participants identified that their ability to develop long-term relationships with children and families as a significant source of satisfaction. Belonging to the oncology team was seen as extraordinarily important to all the participants. The majority of the participants also felt that working in this ever-evolving dynamic medical field afforded them with ongoing learning opportunities. The main frustration described by participants pertained to administrative involvement in the everyday workings of the PHOU, potentially leading to attrition. It is important to note that there was also diversity among and between the categories of HCPs when describing the work environment and the issues that most influence them. While similarities among participants were found between satisfaction and dissatisfaction, significant differences between them led us to believe it would be unreasonable to attempt to compare the three groups here. Thus, in this article the author focused primarily on nursing while noting related observations from physicians and allied health professions.

scholarly journals The Impact of Health Care Restructuring on Nosocomially Acquired Blood Stream Infections

2000 ◽  
Vol 11 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Geoffrey D Taylor ◽  
Margare McKenzie ◽  
Teresa Kirkland ◽  
Maureen Buchanan-Chell ◽  
Rhoda Wiens
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Blood Stream Infection ◽  
Venous Catheter ◽  
Blood Stream ◽  
Infection Rates ◽  
Blood Stream Infections ◽  
Hospital Restructuring ◽  
Hospital Bed ◽  
The Impact

OBJECTIVE: To assess the impact of the health care restructuring, which occurred in Alberta in 1995, on the occurrence of nosocomial blood stream infection and risk factors for these infections at the University of Alberta Hospital.PATIENTS AND METHODS: Changes in patient population, hospital bed numbers, admissions and hospital days for 1993 and 1994 (1993/94) were compared with those for 1996 and 1997(1996/97). Central venous catheter (CVC) use in intensive care units (ICU), days of total parenteral nutrition (TPN) and hemodialysis were compared for the two time periods. Prospectively collected data obtained by monitoring blood culture results on nosocomial blood stream infections in 1993/94 were compared with those obtained in 1996/97.RESULTS: Hospital bed number fell by 10% between 1993/94 and 1996/97. Annual admissions fell by 19% and patient days by 17%. Some services markedly increased patient days (neurosurgery 49%, nephrology 30%, orthopedic surgery 24%), and others markedly reduced patient days (obstetrics and gynecology 99%, ophthalmology 100%, adult medicine 41%, general paediatrics 38%). ICU use of CVCs increased by 41%, TPN days increased by 25% and hemodialysis runs increased by 9%. Annual nosocomial blood stream infections increased by 31% and the annual rate per 10,000 patient days increased by 60%. TPN-related blood stream infection rates and ICU CVC infection rates did not change from 1993/94 to 1996/97.CONCLUSIONS: Hospital restructuring has been associated with a 31% increase in nosocomial blood stream infection number and a 60% increase in rate. The increase has been associated with a change in patient populations and increases in risk factors for blood stream infection.

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