Abstract:
BACKGROUND:A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE:To determine whether the use of bundled interventions that include a checklist during central-line insertions reduces catheter-related bloodstream infections in intensive care unit patients. METHODS:A literature review was performed using methodology adapted from the American Heart Association's International Liaison Committee on Resuscitation. RESULTS:Seventeen cohort studies were included. Thirteen studies were supportive of the intervention, while four were neutral. Infection rates ranged from 1.6 to 10.8 per 1000 central-line days in control groups, and from 0.0 to 3.8 per 1000 central-line days in the intervention groups. CONCLUSION:There is fair evidence to recommend the use of care bundles that include a checklist during central-line insertion in intensive care unit patients to reduce the incidence of catheter-related bloodstream infections. HISTORIQUE:Une liste de vérification qui favorise le respect d’une technique aseptique pendant l’insertion d’un cathéter fait partie de nombreux « soins regroupés » pour réduire les infections nosocomiales chez les patients à l’unité de soins intensifs. OBJECTIF:Déterminer si le recours à des interventions regroupées qui incluent une liste de vérification pendant l’insertion d’un cathéter central réduit les infections sanguines liées aux cathéters chez les patients à l’unité de soins intensifs. MÉTHODOLOGIE:Analyse bibliographique au moyen de la méthodologie adaptée du comité de liaison internationale sur la réanimation de l’American Heart Association. RÉSULTATS:Dix-sept études de cohorte ont été incluses. Treize étaient favorables à l’intervention et quatre étaient neutres. Le taux d’infection variait entre 1,6 et 10,8 cas sur 1 000 jours-cathéters centraux dans les groupes témoins, et entre 0,0 et 3,8 cas sur 1 000 jours-cathéters centraux dans les groupes d’intervention. CONCLUSION:Les preuves sont acceptables pour recommander l’utilisation de groupes de soins qui incluent une liste de vérification pendant l’insertion d’un cathéter central chez les patients de l’unité de soins intensifs pour réduire l’incidence d’infections sanguines liées aux cathéters.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Simpson CD,Hawes J,James AG,Lee KSdoi
10.1093/pch/19.4.176subject
Has Abstractpub_date
2014-04-01 00:00:00pages
176issue
4eissn
1205-7088issn
1918-1485journal_volume
19pub_type
杂志文章,评审abstract:OBJECTIVES:To explore how and when chiropractors are involved in the care of patients younger than 18 years of age, and to examine chiropractors' beliefs about treating paediatric patients. DESIGN:A cross-sectional survey of a random sample of 140 chiropractors practising in Alberta. Data were collected by means of a ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/6.7.433
更新日期:2001-09-01 00:00:00
abstract::The management of patients with headaches is a major component of every paediatric practice. In a nationally representative sample of Canadian adolescents, it was found that 26.6% of those 12 to 13 years of age and 31.2% of those 14 to 15 years of age reported that they experienced headaches at least once per week.The...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.1.24
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:A number of reports suggest that Aboriginal cultural status is a major risk indicator for drug and alcohol use. The primary purpose of the present paper was to determine whether Aboriginal cultural status is independently associated with risk behaviours, such as marijuana use and alcohol abuse, among youth...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.4.225
更新日期:2009-04-01 00:00:00
abstract:Aim:To investigate the implementation of amplitude-integrated electroencephalography (aEEG) as bedside monitoring tool of cerebral function in tertiary Canadian Neonatal Intensive Care Units (NICU) over the past decade. Methods:Longitudinal study consisting of online surveys of neonatologists on the use of aEEG in 200...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz091
更新日期:2019-10-10 00:00:00
abstract::Medically unexplained symptoms in young people can present a challenge for primary care physicians to manage. Despite the prevalence of this clinical problem, physicians feel ill-equipped to deal with it. Families may attribute symptoms to an organic cause, despite the absence of identified pathology, and often resist...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::Nutrition for Healthy Term Infants is the new national statement on nutrition for infants from birth to 24 months, developed collaboratively by the Canadian Paediatric Society, Dietitians of Canada and Health Canada.The document summarizes the existing scientific literature on infant nutrition and presents principles ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/3.2.109
更新日期:1998-03-01 00:00:00
abstract::Breastfeeding confers extensive and well-established benefits and is recognized as an extremely effective preventative health measure for both mothers and babies. Except in very few specific medical situations, breastfeeding should be universally encouraged for all mothers and infants. To improve worldwide breastfeedi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00
abstract::This statement is intended for health care professionals caring for neonates and young infants. The objectives of this statement are to review the short and long term effects of systemic and inhaled postnatal corticosteroids for the prevention or treatment of evolving or established chronic lung disease, and to make r...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/7.1.20
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND/OBJECTIVES:In 2001, a chart review of children referred to the authors' endocrine clinic because of short stature revealed that many were referred with insufficient baseline data, had normal height velocity and were within genetic target height. Therefore, a two-way fax communication system was implemented b...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/18.10.533
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To describe an approach to history, physical examination and investigation for the developmentally delayed child. METHODS:A review of electronic databases from 1997 to 2001 was done searching for articles relating to the approach to or investigations of children with developmental delay. Five studies, includ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/8.1.16
更新日期:2003-01-01 00:00:00
abstract::Persistent fetal circulation (PFC), also known as persistent pulmonary hypertension of the newborn, is defined as postnatal persistence of right-to-left ductal or atrial shunting, or both in the presence of elevated right ventricular pressure. It is a relatively rare condition that is usually seen in newborns with res...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/6.10.744
更新日期:2001-12-01 00:00:00
abstract:INTRODUCTION:In September 2005, the Alberta government introduced the daily physical activity (DPA) initiative, which requires that students from grades 1 to 9 be physically active in school for a minimum of 30 min per day. OBJECTIVE:To obtain information on whether and how the DPA initiative has been implemented in C...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/15.7.e19
更新日期:2010-09-01 00:00:00
abstract::Antimicrobial stewardship is a recent concept that embodies the practical, judicious use of antimicrobials to decrease adverse outcomes from antimicrobials while optimizing the treatment of bacterial infections to reduce the emergence of resistant pathogens. The objectives of the present statement are to illustrate th...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/19.5.261
更新日期:2014-05-01 00:00:00
abstract::Child sexual abuse is an important and not uncommon problem. Children who have been sexually abused may present to a physician's office, urgent care centre, or emergency department for medical evaluation. A medical evaluation can provide reassurance to both child and caregiver, identify care needs, and offer an accura...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxaa019
更新日期:2020-04-01 00:00:00
abstract::Zika virus (ZIKV) was recently recognized to be teratogenic. The diagnosis of congenital ZIKV syndrome should be considered in children with unexplained microcephaly, intracranial calcifications, ventriculomegaly or major structural central nervous system abnormalities. Management is evolving but suggestions are provi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx012
更新日期:2017-03-01 00:00:00
abstract::The rate of multiple pregnancy has increased in developed countries, a finding usually attributed to more widespread use of assisted reproductive technologies. Multiple pregnancies are associated with a greater risk of pregnancy complications, including intrauterine growth restriction of one or more of the fetuses, va...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/11.5.283
更新日期:2006-05-01 00:00:00
abstract:Background:Functional abdominal pain disorders (FAPD) are prevalent in the paediatric population, however, there is currently no consensus regarding best practices for treatment. The use of probiotics is becoming popular to treat FAPD. The goal of this rapid review is to synthesize the best evidence on the use of probi...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxz036
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Paediatric electrocardiograms (ECGs) are ordered and interpreted by general paediatricians; however, no previous studies have evaluated the accuracy of their ECG interpretations. OBJECTIVE:To determine general paediatricians' practice and opinions regarding ECG use, accuracy of their interpretation of paedi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/19.2.77
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:To describe the clinical features, diagnosis, treatment and outcome of children with Kawasaki disease (KD) treated at a large tertiary care Canadian paediatric hospital and to try to identify correlations between clinical features and the development of coronary artery abnormalities. METHODS:The charts of 1...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/9.7.466
更新日期:2004-09-01 00:00:00
abstract::Sexual activity and experimentation are normative parts of adolescent development that may, at the same time, be associated with adverse health outcomes, including the acquisition of sexually transmitted infections, unplanned pregnancy, and teen dating violence. Anticipatory guidance regarding sexual and reproductive ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxaa122
更新日期:2020-12-16 00:00:00
abstract::Concussion has emerged as an important public health issue affecting thousands of Canadians annually. Health care providers including paediatricians, family and emergency medicine physicians, nurses, and nurse practitioners are commonly tasked with the responsibility of providing primary care to patients with acute co...
journal_title:Paediatrics & child health
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doi:10.1093/pch/pxy171
更新日期:2019-06-01 00:00:00
abstract::The harmful effects of child poverty are well documented. Despite this, progress in poverty reduction in Canada has been slow. A significant gap exists between what is known about eradicating poverty and its implementation. Paediatricians can play an important role in bridging this gap by understanding and advancing c...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/20.4.203
更新日期:2015-05-01 00:00:00
abstract::There is a growing focus in the medical community on de-escalating medical treatments where appropriate; however, specific efforts to reduce medication burden in patients with polypharmacy has largely been targeted toward adult populations. Polypharmacy increases the risk of adverse drug reactions in children, and tha...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy188
更新日期:2019-08-01 00:00:00
abstract:Background:Referrals to paediatric endocrine clinics for short stature are common. Height velocity (HV) is an essential component of the evaluation of short stature as growth deceleration often reflects an underlying paediatric endocrine diagnosis (PED). Access to previous measurements facilitates prompt calculation of...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy079
更新日期:2019-05-01 00:00:00
abstract::Within the paediatric population, changing patterns of circumcisions have confounded the epidemiology and presentation of lichen sclerosus (LS). We sought to evaluate the incidence, demographics, and clinical features of patients presenting to a single Albertan paediatric urologist with LS. This retrospective descript...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy172
更新日期:2020-06-01 00:00:00
abstract:Objective:To evaluate the relative incidence of cardiogenic and septic shock in term neonates and identify findings that help differentiate the two entities. Study Design:We conducted a retrospective chart review of term neonates presenting to British Columbia Children's Hospital (BCCH) with decompensated shock of an ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz078
更新日期:2019-06-24 00:00:00
abstract:BACKGROUND:Formal sexual education is a mandatory component of the high school curriculum in most Canadian provinces. The present study was a preliminary assessment of sexual knowledge among a sample of Ontario adolescents who had completed their high school sexual education requirements. METHODS:A questionnaire, test...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2013-02-01 00:00:00
abstract::Over the past decade, the unfortunate reality is that the income gap has widened between Canadian families. Educational outcomes are one of the key areas influenced by family incomes. Children from low-income families often start school already behind their peers who come from more affluent families, as shown in measu...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.8.701
更新日期:2007-10-01 00:00:00
abstract::In the present longitudinal study, the physical growth and health of 36 early-deprived postinstitutionalized Romanian orphans (ROs; 17 boys) adopted by Canadian families are documented. Data were collected for each child at three time points: at 11 months postadoption, at 4.5 years of age and at 10.5 years of age. Dat...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract:Objective:School-based vaccination programs can be a source of distress for many students due to the pain from the needle injection and related fears. We created a multifaceted Knowledge Translation (KT) intervention to address vaccination and pain, fear, and fainting called The CARD™ System. The objectives were to doc...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz018
更新日期:2019-04-01 00:00:00