Allergy status check before medication administration
This article employs a paediatric case study, involving a 3-year-old child who had an anaphylactic reaction that occurred as a result of the multidisciplinary team’s failure to identify and acknowledge the patient’s documented ‘known allergy’ status” Mortell (2019). Abstract: This article employs a paediatric case study, involving a 3-year-old child who had an anaphylactic reaction […]
Machine learning for clinical decision support in infectious diseases
Machine learning (ML) is a growing field in medicine. This narrative review describes the current body of literature on ML for clinical decision support in infectious diseases (ID)” Peiffer-Smadja et al (2019). Abstract: Background: Machine learning (ML) is a growing field in medicine. This narrative review describes the current body of literature on ML for […]
Short-term dialysis catheter versus central venous catheter infections
Little is known on catheter-related infections associated with short-term dialysis catheters (DC). Recommendations for infection prevention are mostly derived from those related to central venous catheters (CVC)” Buetti et al (2019). Abstract: PURPOSE: Little is known on catheter-related infections associated with short-term dialysis catheters (DC). Recommendations for infection prevention are mostly derived from those related […]
Systematic review of balloon angioplasty for the treatment of failing hemodialysis access
To perform a meta-analysis comparing target lesion primary patency rates at 6 months and 1 year, and major procedure-associated complications between drug-eluting balloon (DEB) and plain balloon angioplasty (PBA) for the treatment of arteriovenous fistula (AVF) or synthetic arteriovenous graft (AVG) stenosis” Yuan et al (2019). Abstract: PURPOSE: To perform a meta-analysis comparing target lesion […]
Effects of continuous ketamine infusion on hemodynamics and mortality
We investigated the hemodynamic and mortality effects of continuous ketamine infusion in critically ill pediatric patients” Park et al (2019). Abstract: We investigated the hemodynamic and mortality effects of continuous ketamine infusion in critically ill pediatric patients. We conducted a retrospective cohort study in a tertiary pediatric intensive care unit (PICU). Patients who used continuous […]
Novel risk factors for CLABSI in critically ill children
We examined novel and/or modifiable risk factors for CLABSI to identify new potential targets for infection prevention strategies” Woods-Hill et al (2019). Abstract: OBJECTIVE: Central-line-associated bloodstream infections (CLABSI) cause morbidity and mortality in critically ill children. We examined novel and/or modifiable risk factors for CLABSI to identify new potential targets for infection prevention strategies. METHODS: […]
Enteral and parenteral nutrition considerations in pediatric patients
Current clinical practice guidelines on management of enteral nutrition (EN) and parenteral nutrition (PN) in pediatric patients are reviewed” Cober and Gura (2019). Abstract: Purpose: Current clinical practice guidelines on management of enteral nutrition (EN) and parenteral nutrition (PN) in pediatric patients are reviewed. Summary: The provision of EN and PN in pediatric patients poses […]
Web- and mobile-application-based hand hygiene monitoring
The purpose of this study was to confirm regular HH use by collecting and analyzing HH data for Web- and mobile-application-based HH monitoring” Cha and Kim (2019). Abstract: Although hand hygiene (HH) monitoring by direct observation is considered to be a reliable method, it is labor intensive. The purpose of this study was to confirm […]
Financial ties between clinical practice guideline authors and pharmaceutical companies
Ensuring objectivity and neutrality is important in clinical practice guidelines development, but previous research shows that authors of clinical practice guidelines may become critical marketing promotion targets of pharmaceutical companies” Saito teal (2019). Extract: Financial conflicts of interest in the health-care domain have gained global attention because of concerns that they can bias the judgement […]
Unsafe small clinics cause new human immunodeficiency virus outbreaks in Pakistan
The new outbreak of HIV was due to a failed healthcare system, including reuse of syringes and unsafe blood transfusion” Khan et al (2019). Abstract: In Pakistan new human immunodeficiency virus (HIV) infection cases have been increasing rapidly for last three decades. In 2017 the number of HIV-positive cases was recorded as 150,000, to which […]
Modified microbubble test in PICC tip positioning
To analyze the specificity and sensitivity of the modified microbubble test in identifying the peripherally inserted central venous catheters (PICC) tip based on the chest X-ray location as the “gold standard”, and to find out an accurate and noninvasive PICC tip positioning method that can save time and cost” Zhang et al (2019). Abstract: OBJECTIVE: […]
Use of drones in clinical microbiology and infectious diseases
The potential for drone use in clinical microbiology, infectious diseases and epidemiology is vast” Poljak and Šterbenc (20190. Abstract: Background: Drones or unmanned aerial vehicles are autonomous or remotely controlled multipurpose aerial vehicles driven by aerodynamic forces and capable of carrying a payload. Whereas initially used exclusively for military purposes, the use of drones has […]
Chlorhexidine-based decolonization to reduce healthcare-associated infections
Body surface decolonization with chlorhexidine bathing and nasal mupirocin has become a simple solution for prevention of healthcare-associated infections” Huang (2019). Summary: Body surface decolonization with chlorhexidine bathing and nasal mupirocin has become a simple solution for prevention of healthcare-associated infections. The clinical trial evidence for this practice will be reviewed to understand who benefits […]
Update on epidemiology and significance of multidrug-resistant pathogens
To review key aspects of bloodstream infection epidemiology and burden and summarize recent news and questions concerning critical developments” Kern and Rieg (2019). Abstract: Background: Bloodstream infections comprise a wide variety of pathogens and clinical syndromes with considerable overlap with similar syndromes of non-bacteremic infections and quite diverse risk factors, therapeutic implications and outcomes. Yet, […]
Home infusions of Natalizumab for people with Multiple Sclerosis
In this study, a model of care (MOC), an overarching design for the provision of a health care service, was developed to permit home infusions of natalizumab” Schultz et al 92019). Abstract: Natalizumab is an effective treatment for multiple sclerosis that requires 4-weekly infusions that are usually provided in hospital outpatient clinics. In this study, […]
Nurses’ perceptions of high‐alert medication administration safety
The aim of this study was to determine nurses’ perceptions of supports and barriers to high‐alert medication (HAM) administration safety” Sessions et al (2019). Abstract: Aims: The aim of this study was to determine nurses’ perceptions of supports and barriers to high‐alert medication (HAM) administration safety. Design: A qualitative descriptive design was used. Methods: Eighteen […]
Parenteral nutrition use in children with cancer
Appropriate use of parenteral nutrition in children with cancer and intestinal failure may alleviate malnutrition and associated risks” McGrath (2019). Abstract: Multiple disease and treatment‐related factors contribute to intestinal insult and influence the nutritional status of children with cancer. Many children with cancer will experience intestinal dysfunction during their cancer journey and children with cancer […]
Which peripherally implantable port puncture site?
The use of peripheral implanted ports to administer parenteral nutrition in a number of patient cohorts is increasingly seen as a safe alternative to chest ports with equivalence in long-term outcomes” Katsoulas et al (2019). Abstract: The use of peripheral implanted ports to administer parenteral nutrition in a number of patient cohorts is increasingly seen […]
Effects of blood transfusion sets on red cell hemolysis
This experimental randomized study compared the effects of macrodrop and microdrop blood transfusion sets on red blood cell (RBC) hemolysis” Larissa Perez et al (2019). Abstract: This experimental randomized study compared the effects of macrodrop and microdrop blood transfusion sets on red blood cell (RBC) hemolysis. Twenty units of packed RBCs from different donors were […]
Patient satisfaction and cost reduction in immunoglobulin administration
This analysis examined safety, patient satisfaction, and cost savings in 49 patients administered Gammaplex 10% via rapid infusion over 11 months” Bauer et al (2019). Abstract: Gammaplex 10% (immune globulin intravenous [human], Bio Products Laboratory, Ltd) can be administered with a 15-minute rate-escalation protocol. This analysis examined safety, patient satisfaction, and cost savings in 49 […]
Impact of a Central-Line Insertion Site Assessment (CLISA) score
To assess the impact of a newly developed Central-Line Insertion Site Assessment (CLISA) score on the incidence of local inflammation or infection for CLABSI prevention” Gohil et al (2019). Abstract: OBJECTIVE: To assess the impact of a newly developed Central-Line Insertion Site Assessment (CLISA) score on the incidence of local inflammation or infection for CLABSI […]
Development of a pediatric PICC team
To examine our institutional experiences with ultrasound-guided peripherally inserted central catheter (US-PICC) placement by a dedicated US-PICC team under the umbrella of an existing pediatric sedation service” Rainey et al (2019).
Types of short peripheral IV catheters dwell time evaluated
Short peripheral catheters (SPCs) vary by design and materials. The investigators conducted a before-and-after study comparing catheter dwell time and complications with open and closed system SPCs” Penoyer et al (2019). Abstract: Short peripheral catheters (SPCs) vary by design and materials. The investigators conducted a before-and-after study comparing catheter dwell time and complications with open […]
Haptic robotic trainer in jugular central venous catheter placement
The objective of this study was to validate the transfer of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) placement skills from training on a Dynamic Haptic Robotic Trainer (DHRT), to placing US-IJCVCs in clinical environments” Chen et al (2019). Abstract: BACKGROUND: The objective of this study was to validate the transfer of ultrasound-guided Internal Jugular […]
How to treat extravasation of calcium solution
The extravasation of a calcium solution into soft tissue constitutes a medical emergency, and a lack of adequate management can lead to significant functional and cosmetic sequelae” Girard et al (2019). Abstract: The extravasation of a calcium solution into soft tissue constitutes a medical emergency, and a lack of adequate management can lead to significant […]
Transfusion protocols prior to central venous catheterization in patients with cirrhosis
The use of a restrictive strategy is associated with a reduction in transfusion prior to central venous catheterization and costs in critically ill cirrhosis patients. No effect on bleeding was found among the groups” Rocha et al (2019). Abstract: BACKGROUND: Transfusion of blood components prior to invasive procedures in cirrhosis patients is high and associated […]
Gram-negative CLABSI and patient management
We evaluated the effect of central venous catheter management on cancer patients with gram-negative bloodstream infections” Fares et al (2019). Abstract: OBJECTIVE: Gram-negative organisms have become a major etiology of bloodstream infections. We evaluated the effect of central venous catheter management on cancer patients with gram-negative bloodstream infections. METHOD: We retrospectively identified patients older than […]
Cephalic vein cut-down for implantable port placement
Cephalic vein (CV) cut-down for totally implantable central venous access devices (TICVADs) is not frequently used due to its low success rate. We compared the outcomes of CV cut-down using preoperative ultrasonography (US) performed by experienced surgeons versus surgical residents” Hashimoto et al (2019). Abstract: BACKGROUND/AIM: Cephalic vein (CV) cut-down for totally implantable central venous […]
How to reduce PICC occlusion rates
Cancer patients are considered the most at risk of the consequences of catheter occlusion. Therefore, nursing interventions that can effectively reduce the occlusion of peripherally inserted central catheter (PICC) lines must be identified to ensure a smooth treatment” Pan et al (2019). Abstract BACKGROUND: Cancer patients are considered the most at risk of the consequences […]
Suggested techniques for ultrasound guided peripheral IV insertion
This article outlines the suggested techniques for the ultrasound-guided insertion of PIV catheters, midline catheters, and peripherally inserted central catheters” Millington et al (2019). Abstract: Peripheral intravenous (PIV) catheter insertion is the most commonly performed procedure in hospitals. Multiple patient factors can make PIV insertion challenging, and ultrasound guidance has been demonstrated to improve the […]