title: "Targeting to zero" in pediatric oncology: a review of central venous catheter-related bloodstream infections.
abstract: Reducing or eliminating hospital acquired infections is a national quality of care priority. The majority of the 12,400 children diagnosed with cancer each year require long-term intravenous access to receive intensive and complex therapies. These children are at high risk for infection by nature of their disease and treatment, which often involves use of a central venous catheter (CVC). Throughout the nation, nurses assume frontline responsibility for safe, quality CVC care to minimize the risk of potentially life-threatening infections. Substantial financial and human costs are associated with CVC-related bloodstream infections, including prolonged hospital lengths of stay and increased care required to treat these infections. The purpose of this review of the literature is to summarize existing adult and pediatric data on CVC-related bloodstream infections and explore nursing models of CVC care that may improve pediatric oncology patient outcomes.
authors.affiliation: Children's Hospital Los Angeles, CA 90027, USA. rsecola@chla.usc.edu
authors.forename: Rita
authors.initials: R
authors.lastname: Secola
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Lewis
authors.forename: Nancy
authors.initials: N
authors.lastname: Pike
authors.forename: Jack
authors.initials: J
authors.lastname: Needleman
authors.forename: Lynn
authors.initials: L
authors.lastname: Doering
mesh_terms: D000328:Adult; D055499:Catheter-Related Infections / Q000209:etiology / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000451:nursing*; D002648:Child; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D016294:Models, Nursing; D009369:Neoplasms / Q000451:nursing*; D009859:Oncology Nursing; D010371:Pediatric Nursing