Use of bundled interventions, including a checklist to promote compliance with aseptic technique, to reduce catheter-related bloodstream infections in the intensive care unit.

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 jourscathéters 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 Health

authors

Simpson CD,Hawes J,James AG,Lee KS

doi

10.1093/pch/19.4.e20

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

e20-3

issue

4

eissn

1205-7088

issn

1918-1485

journal_volume

19

pub_type

杂志文章,评审
  • The gap between coverage and care-what can Canadian paediatricians do about access to health services for refugee claimant children?

    abstract:Introduction:In June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesize...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx115

    authors: Rink N,Muttalib F,Morantz G,Chase L,Cleveland J,Rousseau C,Li P

    更新日期:2017-11-01 00:00:00

  • The 18-month well-child visit in primary care: Clinical strategies for early intervention.

    abstract::Family physicians, paediatricians, nurse practitioners and all primary health care providers are well-positioned in the health care system to provide identification and intervention for developmental delay in early childhood. This can be accomplished through the promotion of healthy child development by supporting chi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/13.10.845

    authors: Mousmanis P,Watson WJ

    更新日期:2008-12-01 00:00:00

  • The use of natural health products by paediatric patients in respite care.

    abstract:OBJECTIVES:To determine the use and potential interactions of natural health products (NHPs) with conventional medications in children with life-limiting illnesses. METHODS:The present study was a retrospective medical record review of palliative care patients <18 years of age who were admitted for respite care to a C...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/20.1.23

    authors: Beringer A,Vaillancourt R,Villarreal G,Vadeboncoeur C

    更新日期:2015-01-01 00:00:00

  • A nurse-initiated jaundice management protocol improves quality of care in the paediatric emergency department.

    abstract:Background:Hyperbilirubinemia is a common neonatal condition requiring timely management to prevent acute bilirubin encephalopathy. Management protocols allow nonphysicians to initiate designated actions prior to physician assessment. Objective:To assess the effectiveness of a nurse-initiated neonatal jaundice managem...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx056

    authors: Long M,Farion KJ,Zemek R,Voskamp D,Barrowman N,Akiki S,Reid S

    更新日期:2017-08-01 00:00:00

  • Blood pressure in children with attention deficit/hyperactivity disorder.

    abstract:Objectives:Children with attention deficit/hyperactivity disorder (ADHD) are frequently treated with psycho-stimulant agents causing a modest but significant increase in blood pressure and heart rate. The objective of this study was to define blood pressure characteristics in children with ADHD treated with a variety o...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx207

    authors: Grisaru S,Yue M,Samuel SM,Chaput KH,Hamiwka LA

    更新日期:2018-09-01 00:00:00

  • Adolescent chronic pain and disability: A review of the current evidence in assessment and treatment.

    abstract::Adolescents who suffer from chronic pain also report complex syndrome-associated disability and distress that can detrimentally affect the quality of their lives and the lives of their family members. Over the past 10 years, there have been significant developments in both methods of assessment and in treatment progra...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/12.2.117

    authors: Eccleston C,Clinch J

    更新日期:2007-02-01 00:00:00

  • The relative incidence of cardiogenic and septic shock in neonates.

    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

    authors: Chan KH,Sanatani S,Potts JE,Harris KC

    更新日期:2019-06-24 00:00:00

  • Erratum: Effect of music (Brahms lullaby) and non-nutritive sucking on heel lance in preterm infants: A randomized controlled crossover trial.

    abstract::[This corrects the article DOI: 10.1093/pch/pxy072.]. ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,已发布勘误

    doi:10.1093/pch/pxy163

    authors: Uematsu H,Sobue I

    更新日期:2019-02-01 00:00:00

  • Constipation and paediatric emergency department utilization.

    abstract:Background:Constipation is a common condition in children. Little is known about the acute health care utilization of constipated children, including how many present to the paediatric emergency department (ED), the spectrum of presenting complaints, investigations and treatments used. Methods:We conducted a cross-sec...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx041

    authors: Nutter A,Meckler G,Truong M,Doan Q

    更新日期:2017-06-01 00:00:00

  • Erratum: Re: Wong PD, Dave MG, Tulloch T, et al. Community health centres: Potential opportunities for community paediatrics. From interprofessional clinical care to board governance. Paediatr Child Health 2015;20(1):12-14.

    abstract::[This corrects the article on p. 12 in vol. 20, PMID: 25722635.]. ...

    journal_title:Paediatrics & child health

    pub_type: 已发布勘误

    doi:

    authors:

    更新日期:2015-04-01 00:00:00

  • Childhood obesity and cardiovascular disease.

    abstract::Childhood obesity has reached epidemic proportions. Many of these children have risk factors for later disease, including cardiovascular disease. For optimal cardiovascular health, health care professionals must be able to identify children and youth at risk and provide appropriate support as needed. The present artic...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/14.3.177

    authors: Bridger T

    更新日期:2009-03-01 00:00:00

  • Does decreasing the frequency of changing intravenous administration sets (>24 h) increase the incidence of sepsis in neonates receiving total parenteral nutrition?

    abstract:BACKGROUND:The optimal timing for changing intravenous (IV) administration sets that contain total parenteral nutrition (TPN), with and without lipids, in neonates remains unknown. OBJECTIVE:To determine whether decreasing the frequency of changing IV administration sets (>24 h versus every 24 h) in neonates increases...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:

    authors: Chirinian N,Shah V

    更新日期:2012-11-01 00:00:00

  • The Baby-Friendly Initiative: Protecting, promoting and supporting breastfeeding.

    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:

    authors: Pound CM,Unger SL,Canadian Paediatric Society, Hospital Paediatrics Section, Nutrition and Gastroenterology Committee.

    更新日期:2012-06-01 00:00:00

  • A harmonized immunization schedule for Canada: A call to action.

    abstract::In Canada, the National Advisory Committee on Immunization systematically reviews the evidence for the effectiveness and safety of new and old vaccines, and sets a 'minimum' recommended schedule. However, in contrast to other industrialized countries where single, harmonized countrywide immunization schedules are de r...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Macdonald N,Bortolussi R

    更新日期:2011-01-01 00:00:00

  • Promoting the strengths and resilience of an Indigenous community through photovoice.

    abstract::In the face of negative media attention, community members and Elders from the First Nation community of Maskwacis identified the importance of promoting community strengths and reframing perceptions of their community. Two research questions were addressed: (1) How do youth in Maskwacis view their community strengths...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx178

    authors: Tremblay M,Baydala L,Littlechild R,Chiu E,Janzen T

    更新日期:2018-07-01 00:00:00

  • Evidence-based medicine and the anecdote: Uneasy bedfellows or ideal couple?

    abstract::Over the past 30 years, there has been a resurgence in the use of storytelling and narrative in medicine. At first glance, the trend to incorporate art forms into medicine appears to run counter to the rise of the more objective and positivist evidence-based medicine movement. In the present article, the authors provi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/11.10.665

    authors: Kosko J,Klassen TP,Bishop T,Hartling L

    更新日期:2006-12-01 00:00:00

  • EPIQ Review.

    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 inser...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:10.1093/pch/19.4.176

    authors: Simpson CD,Hawes J,James AG,Lee KS

    更新日期:2014-04-01 00:00:00

  • Electrocardiogram interpretation by Canadian general paediatricians: Examining practice, accuracy and confidence.

    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

    authors: Escudero CA,Sanatani S,Wong KK,Templeton CG

    更新日期:2014-02-01 00:00:00

  • Hypoglycemia in term newborns with a birth weight below the 10th percentile.

    abstract:BACKGROUND:Current recommendations suggest that routine screening for hypoglycemia should be performed in all term newborns with a birth weight (BW) below the 10th percentile. The impact of updated growth curves on the incidence of hypoglycemia in small-for-gestational-age (SGA) newborns has not been evaluated. OBJECT...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/15.5.271

    authors: Mejri A,Dorval VG,Nuyt AM,Carceller A

    更新日期:2010-05-01 00:00:00

  • Banning children and youth younger than 18 years of age from commercial tanning facilities.

    abstract::Cutaneous malignant melanoma has increased more than three-fold in the past 35 years. Because damage is cumulative, exposure to ultraviolet radiation early in life elevates a risk that is increased further as individuals use artificial sources of ultraviolet radiation. The full impact and scope of damage caused by yea...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/17.2.89

    authors: Taddeo D,Stanwick R,Canadian Paediatric Society, Adolescent Health Committee.

    更新日期:2012-02-01 00:00:00

  • The evaluation and management of paediatric headaches.

    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

    authors: Dooley J

    更新日期:2009-01-01 00:00:00

  • The role of economic and cultural status as risk indicators for alcohol and marijuana use among adolescents.

    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

    authors: Lemstra M,Neudorf C,Nannapaneni U,Bennett N,Scott C,Kershaw T

    更新日期:2009-04-01 00:00:00

  • Lead toxicity with a new focus: Addressing low-level lead exposure in Canadian children.

    abstract::Although acute and subacute lead toxicity requiring active treatment is rare in Canada, paediatricians need to be aware of new evidence linking lower lead levels to neurodevelopmental deficits. Health Canada has identified potential exposures occurring prenatally, in infancy and during early childhood from food and wa...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxz080

    authors: Buka I,Hervouet-Zeiber C

    更新日期:2019-07-01 00:00:00

  • Implementation of amplitude-integrated electroencephalography in tertiary Canadian Neonatal Intensive Care Units-a longitudinal study.

    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

    authors: Grass B,Crosdale B,Keyzers M,Deshpande P,Hahn C,Ly LG,McNamara PJ

    更新日期:2019-10-10 00:00:00

  • Management of acute otitis media in children six months of age and older.

    abstract::Acute otitis media (AOM) continues to be a common infection in young children. Milder disease, usually due to viruses or less virulent bacteria, resolves equally quickly with or without antibiotics. A bulging tympanic membrane, especially if yellow or hemorrhagic, has a high sensitivity for AOM that is likely to be ba...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/21.1.39

    authors: Le Saux N,Robinson JL,Canadian Paediatric Society, Infectious Diseases and Immunization Committee.

    更新日期:2016-01-01 00:00:00

  • Diagnosis and management of severe sepsis in the paediatric patient.

    abstract::Sepsis is a systemic inflammatory response to suspected or proven infection. Given its importance in terms of morbidity and mortality, a number of initiatives by several professional societies in recent years have led to the development of guidelines for the recognition and timely management of sepsis. The principal e...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxz178

    authors: Farrell CA

    更新日期:2020-11-02 00:00:00

  • Paediatrician human resource planning in Canada: A 10-year follow-up.

    abstract:BACKGROUND:Paediatrician human resource planning in Canada is currently a major concern. The optimal mix of physicians by type of practice and geographical distribution also remains controversial for many groups of physicians. OBJECTIVE:To compare 10-year trends (1987 to 1997) in paediatric practice with respect to ag...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/10.10.595

    authors: Seabrook JA,Cukiernik V,Matsui D,Speechley KN,Rieder MJ

    更新日期:2005-12-01 00:00:00

  • Adolescent male health.

    abstract::Although adolescent males have as many health issues and concerns as adolescent females, they are much less likely to be seen in a clinical setting. This is related to both individual factors and the health care system itself, which is not always encouraging and set up to provide comprehensive male health care. Workin...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/13.1.31

    authors: Westwood M,Pinzon J

    更新日期:2008-01-01 00:00:00

  • Children with medical complexities: Addressing the gaps in respite care during transition from paediatrics to adult health care in Ontario.

    abstract::Respite care is one integral component of the transition process from paediatric to adult health care, and is of particular importance to individuals with medical complexities. Numerous gaps that exist within the current system limit a child and family's ability to access quality respite care during a time when it is ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx142

    authors: Porepa M,Hoffman A,Fellin M,Kublick L

    更新日期:2017-10-01 00:00:00

  • Guidelines for detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants (35 or more weeks' gestation) - Summary.

    abstract::Hyperbilirubinemia is very common and usually benign in the term newborn infant and the late preterm infant at 35 and 36 completed weeks' gestation. Critical hyperbilirubinemia is uncommon but has the potential for causing long-term neurological impairment. Early discharge of the healthy newborn infant, particularly t...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/12.5.401

    authors:

    更新日期:2007-05-01 00:00:00