Impact of empowerment of onco-hematological patients on the incidence of catheter-related bloodstream infections.

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-06-22 DOI:10.1016/j.ajic.2025.06.015

Rodrigo Reghini, Ivan Leonardo Avelino França E Silva, Silvia Figueiredo Costa, Thaís Guimarães

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引用次数: 0

Abstract

Background: Patients with hematologic malignancies and hematopoietic stem cell transplant recipients (HSCT) are at high risk of central venous catheter-related bloodstream infections (CLABSI). Global actions have encouraged patient empowerment as a strategy to reduce these infections. We aim to evaluate the impact of patient empowerment in reducing the incidence density (ID) of CLABSI.

Methods: Prospective, pre- and post-intervention, quantitative study of development, validation and application of an instrument to assess good practices in CVC handling, consisting of 6 questions and answers by hospitalized patients who had a CVC in 2 oncological units.

Results: Fifty-three patients were enrolled, totaling 1,290 evaluations. In the postintervention period, a significant increase (P < .001) was observed in 3 practices: hand hygiene after handling the CVC (92.1% vs 98.8%), salinization with pulsatile movements after administering medications and collecting laboratory tests (86.8% vs 96.7%) and daily CVC assessment (97.4% vs 99.8%). The ID of CLABSI decreased in the HSCT unit (4.4 vs 0 CLABSI/1,000 CVC-days), though without statistical significance (P = .066).

Discussion: Increased adherence to good practices highlights the potential of patient involvement as a complementary strategy for CLABSI prevention.

Conclusions: Actions aimed at patient participation can contribute to improving processes and reducing the ID of CLABSI.

查看原文本刊更多论文

肿瘤血液学患者赋权对导管相关血流感染发生率的影响。

背景：恶性血液病和造血干细胞移植（HSCT）患者发生中心静脉导管相关血流感染（CLABSI）的风险较高。全球行动鼓励对患者进行培训和增强权能，以此作为减少这些感染的一项战略。目的：评价患者赋权对降低CLABSI发生率密度（ID）的影响。方法：对一种评估CVC处理良好做法的工具的开发、验证和应用进行前瞻性、干预前后、定量研究，该工具由一家肿瘤医院两个单位的CVC住院患者的六个问题和答案组成。结果：53例患者参与研究，共计1290次评估。在干预后时期，显著增加(讨论：加强对良好做法的坚持，突出了患者参与作为预防CLABSI的补充策略的潜力。结论：旨在患者参与的行动有助于改善过程和减少CLABSI的ID。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)