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Factors Affecting the Timing of a Central Line Associated Bloodstream Infection Onset in Children with Cancer

Authors
 Mina Park  ;  Young-Mi Seo  ;  Yoon Jung Shin  ;  Jung Woo Han  ;  Eunhee Cho  ;  Hyeju Jang 
Citation
 JOURNAL OF PEDIATRIC ONCOLOGY NURSING, Vol.38(1) : 26-35, 2021-01 
Journal Title
 JOURNAL OF PEDIATRIC ONCOLOGY NURSING 
ISSN
 1043-4542 
Issue Date
2021-01
Keywords
central line associated bloodstream infection ; medical record ; pediatric cancer
Abstract
Purpose: The purpose of this study is to identify controllable treatment-environment-related factors affecting the timing of a central line-associated bloodstream infection (CLABSI) onset in children with cancer with central venous catheters (CVC). Design: This study is a secondary data analysis with the data extracted from electronic medical records in a tertiary hospital in South Korea. This study was conducted by reviewing electronic medical records of 470 pediatric cancer patients younger than the age of 18 years from 2010 to 2016. Method: The timing of a CLABSI onset was identified through the onset of CLABSI and the duration of catheterization. Cox proportional hazards regression analysis was used to estimate the impact of variables on the timing of CLABSI onset. The duration of catheterization was estimated using the Kaplan-Meier method. Finding: Multivariable analysis by Cox proportional model analysis showed that there are six independent variables affecting the timing of a CLABSI onset: length of stay in hospital, catheter insertion location, use of antibiotics on day of catheter insertion, catheter function, number of blood transfusions per 100 days, and number of blood tests per 100 days. Conclusions: The findings of this study provide a foundation for the development of EBP-based CVC guidelines to effectively reduce CLABSIs and maintain a long-term CVC without a CLABSI.
Full Text
https://journals.sagepub.com/doi/10.1177/1043454220966831
DOI
10.1177/1043454220966831
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Others (기타) > 1. Journal Papers
Yonsei Authors
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
Han, Jung Woo(한정우) ORCID logo https://orcid.org/0000-0001-8936-1205
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182094
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