[Effectiveness of intervention by the infection control team for cancer patients with a positive blood culture].
Cancer patients at a high risk of acquiring infectious diseases should be maintained in a facility where good infection control practices are followed. At our hospital, the infection control team(ICT)provides expertise, education, and support to the staff, helping them maintain proper standards, thereby minimizing the risks of infection. The ICT(established in 2004)has implemented infection control programs by employing an appropriate number of staff members after the revision of medical treatment fees in 2011. Our intervention program includes 2 general policies, namely, ordering and collection of blood cultures and intervention for the medical care of patients with positive blood cultures. In this study, we evaluated the effectiveness of our intervention for cancer patients with a positive blood culture. During the surveillance period(April 2011 to July 2012), 42 positive cases were determined to be infectious. ICT intervention was required in 37 cases. Our suggestions were accepted in 92%(34/37)of the cases, and improved outcome was estimated in 65%(22/34)of the cases. The results of our study contribute to the scientific bases on which routine clinical practices could be promoted in the future.
Dept. of Pharmacy, Osaka Medical College Hospital.
Tomoyuki
T
Yamada
Kaoru
K
Suzuki
Yukimasa
Y
Ohi
Fumiko
F
Kawanishi
Yuriko
Y
Shibata
Makoto
M
Hosomi
Emi
E
Goto
Masami
M
Nishihara
Takahiro
T
Katsumata
Akira
A
Ukimura
D016470:Bacteremia / Q000150:complications / Q000628:therapy*; D002478:Cells, Cultured; D006801:Humans; D017053:Infection Control; D009369:Neoplasms / Q000150:complications*; D010348:Patient Care Team