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Simple Outpatient Protocols Reduce CLABSI by 48%

John Commins, for HealthLeaders Media, October 8, 2013

Training young cancer patients and their families basic methods of preventing central line-associated bloodstream infections could have implications beyond pediatric oncology, since healthcare is increasingly delivered in outpatient settings.

Training pediatric patients and their parents in basic infection-prevention protocols such as hand hygiene, the use of gloves and masks, and proper tube and needle replacement dramatically lowered bloodstream infections for children with central lines receiving outpatient chemotherapy.

A study published this week in Pediatrics by researchers at The Children's Hospital at Montefiore (CHAM) found that the protocols reduce Central Line-Associated Bloodstream Infection (CLABSIs) by 48% and bacteria in the blood by 54%.


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The study's author, Michael L. Rinke, MD, says the findings could have implications beyond pediatric oncology because more healthcare is delivered in outpatient settings.

"Our goal is that this starts in ambulatory pediatric oncology patients, but spreads to other kids using central lines, and then spreads to adults with central lines, and then spreads to anyone dealing with a medical device at home," says Rinke, assistant medical director of pediatric quality at CHAM.

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