Pediatric Hematology and Oncology in Children's Hospital of Nancy, France : Contribution to the Organization of Clinical Oncology

1998 ◽  
Vol 15 (5) ◽  
pp. 385-392
Author(s):  
Danièle Sommelet
Keyword(s):  
Clinical Oncology ◽  
Children's Hospital ◽  
Pediatric Hematology ◽  
Children’S Hospital

Bloodstream Infections in Pediatric Oncology Outpatients: A New Healthcare Systems Challenge

2002 ◽  
Vol 23 (5) ◽  
pp. 239-243 ◽  
Author(s):  
Theresa L. Smith ◽  
Gregg T. Pullen ◽  
Vonda Crouse ◽  
Jon Rosenberg ◽  
William R. Jarvis
Keyword(s):  
Bloodstream Infections ◽  
Venous Catheter ◽  
Case Patient ◽  
Gram Negative ◽  
Children's Hospital ◽  
Pediatric Hematology ◽  
Patient Demographics ◽  
Children’S Hospital ◽  
And Control ◽  
Control Study

Objective:To investigate a perceived increase in central venous catheter (CVC)–associated bloodstream infections (BSIs) among pediatric hematology–oncology outpatients.Design:A case–control study.Setting:A pediatric hematology–oncology outpatient clinic at Fresno Children's Hospital.Patients:Pediatric hematology–oncology clinic outpatients with CVCs at Fresno Children's Hospital between November 1994 and October 1997.Methods:A case-patient was defined as any hematology–oncology outpatient with a CVC-associated BSI at Fresno Children's Hospital from November 1996 to October 1997 (study period) without a localizable infection. To identify case-patients, we reviewed Fresno Children's Hospital records for all hematology–oncology clinic patients, those with CVCs and those with CVCs and BSIs. Control-patients were randomly selected hematology–oncology outpatients with a CVC but no BSI during the study period. Case-patient and control-patient demographics, diagnoses, caretakers, catheter types, catheter care, and water exposure were compared.Results:Twenty-five case-patients had 42 CVC-associated BSIs during the study period. No significant increase in CVC-associated BSI rates occurred among pediatric hematology–oncology patients. However, there was a statistically significant increase in nonendogenous, gram-negative (eg, Pseudomonas species) BSIs during summer months (May–October) compared with the rest of the year. Case-patients and control-patients differed only in catheter type; case-patients were more likely than control-patients to have a transcutaneous CVC. Summertime recreational water exposures were similar and high in the two groups.Conclusions:Hematology–oncology clinic patients with transcutaneous CVCs are at greater risk for CVC-associated BSI, particularly during the summer. Caretakers should be instructed on proper care of CVCs, particularly protection of CVCs during bathing and recreational summer water activities, to reduce the risk of nonendogenous, gram-negative BSIs.

Inspire Certification Among Pediatric Hematology Oncology Nurses

2019 ◽  
Vol 36 (5) ◽  
pp. 337-342
Author(s):  
Diane Altounji ◽  
Sonya Williams ◽  
Rita Secola
Keyword(s):  
Los Angeles ◽  
Oncology Nurses ◽  
Independent Study ◽  
Staff Nurse ◽  
Long Term Effects ◽  
Children's Hospital ◽  
Pediatric Hematology ◽  
Oncology Nurse ◽  
Children’S Hospital ◽  
Review Course

Professional certification validates nurses’ knowledge and expertise in their specialty. In support of professional development, nursing excellence as a Magnet® designated hospital, and commitment to improve patient outcomes, increasing the number of certified pediatric hematology oncology nurses at Children’s Hospital Los Angeles is a priority. Expert certified nurses and educators assessed current staff nurse perceptions of and motivations for becoming certified. A nurse survey was completed, and the results identified barriers to certification and the need for an onsite review course to encourage more nurses to take the Certified Pediatric Hematology Oncology Nurse (CPHON®) exam. The Oncology Nursing Certification Corporation (ONCC) CPHON® test blueprint guided the development of the Children’s Hospital Los Angeles review course curriculum. Certified nurse experts volunteered as course instructors to present an overview of pediatric cancer, pediatric hematology, psychosocial review, chemotherapy and related medications, and long-term effects. In addition to course didactics, interactive learning sessions were included to allow participants to question, discuss, and apply new knowledge. Sample test questions were provided to each participant for independent study post–course attendance. Each participant completed course evaluations to measure the usefulness of the content, environment, and teaching methods. Since the implementation of this course, the overall number of certified hematology oncology nurses has increased by 15.3%.

PEDIATRIC HEMATOLOGY AND ONCOLOGY AT THE UNIVERSITY CHILDREN'S HOSPITAL, BASEL, SWITZERLAND

2000 ◽  
Vol 17 (1) ◽  
pp. 15-19
Author(s):  
Thomas Kuhne ◽  
Alain Di Gallo ◽  
Pierino Avoledo ◽  
Paul Imbach ◽  
Dietrich von Schweinitz ◽  
...  
Keyword(s):  
Children's Hospital ◽  
Pediatric Hematology ◽  
Children’S Hospital ◽  
The University

scholarly journals Establishing a Pediatric Hematology-Oncology Program in Botswana

2018 ◽  
pp. 1-9 ◽  
Author(s):  
Jeremy S. Slone ◽  
Amanda K. Slone ◽  
Oaitse Wally ◽  
Pearl Semetsa ◽  
Mpho Raletshegwana ◽  
...  
Keyword(s):  
Pediatric Cancer ◽  
Patient Characteristics ◽  
Baylor College ◽  
Blood Disorders ◽  
Middle Income ◽  
Children's Hospital ◽  
Pediatric Hematology ◽  
Middle Income Countries ◽  
Histopathologic Diagnosis ◽  
Children’S Hospital

Purpose Annually, 300,000 children are diagnosed with cancer, and the majority of these children live in low- and middle-income countries (LMICs). Currently, there is incomplete information on pediatric cancer incidence, diagnosis distribution, and treatment outcomes in Africa. Since 2007, a pediatric hematology-oncology program has been operating in Botswana through a partnership between the Botswana government, Baylor College of Medicine, and Texas Children’s Hospital. Methods To better understand patient characteristics and outcomes at Botswana’s only pediatric cancer program, a hospital-based data base—the Botswana Pediatric Oncology Database—was established in 2014. Children younger than 18 years of age at the time of diagnosis who presented between 2008 and 2015 were included. Data for this study were extracted in February 2016. Results Of the 240 potential enrollees, 185 (77%) children met eligibility for this study. The median age was 6.4 years, and 50.8% were male. Leukemia was the most common malignancy representing 18.9% of the cohort and 88.1% of the total cohort had a histopathologic diagnosis. HIV seropositivity was confirmed in 13.5%. The 2-year overall survival of all pediatric cancer diagnoses was 52.4%. Abandonment of treatment occurred in 3.8% of patients. Conclusion In the first 9 years of the program, capacity has been developed through a longstanding partnership between Botswana and Baylor College of Medicine/Texas Children’s Hospital that has led to children receiving care for cancer and blood disorders. Although continued improvements are necessary, outcomes to date indicate that children with cancer in Botswana can be successfully diagnosed and treated.

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

Children’s Hospital of Eastern Ontario Pain Scale

1985 ◽  
Author(s):  
Patrick J. McGrath ◽  
Garry Johnson ◽  
John T. Goodman ◽  
John Schillinger ◽  
Jennifer Dunn ◽  
...  
Keyword(s):  
Pain Scale ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Eastern Ontario
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