Journal of Multidisciplinary Healthcare (Feb 2023)
A Retrospective Study of the Use of Antibiotic Lock Therapy and Cluster Nursing Management in Infections in Children with Short Bowel Syndrome or Solid Abdominal Tumours Treated with Totally Implantable Venous Access Ports
Abstract
Xiu-Li Xiao,1 Qian-Xue Yang,2 Hui-Zhong Niu,1 Li-Jing Li,1 Zhen-Jing Xie1 1Department of General Surgery I, Children’s Hospital of Hebei Province, Shijiazhaung, 050000, People’s Republic of China; 2Department of Operating Room, Children’s Hospital of Hebei Province, Shijiazhaung, 050000 People’s Republic of ChinaCorrespondence: Xiu-Li Xiao, Department of General Surgery I, Children’s Hospital of Hebei Province, No. 133 Jianhuanan Street, Yuhua District, Shijiazhuang, Hebei, 050000, People’s Republic of China, Tel +86-0311-85911010, Email [email protected]: To explore the effective response strategies for infections in infants with short bowel syndrome and solid abdominal tumours, treated with totally implantable venous access ports (TIVAPs).Methods: A total of 210 children who were treated with a TIVAP in our department from 2020 to 2021 were selected for this retrospective study. Eight of these children diagnosed with a catheter-related bloodstream infection were studied in this study; antibiotic lock therapy (ALT) and cluster nursing management were used for treatment, and their effects on the infection outcome were observed.Results: Among the eight children, seven access ports were successfully protected, and one catheter was removed from the right chest wall port due to repeated infection. In this one child, the left side was re-implanted.Conclusion: The use of the ALT combined with cluster-based nursing can better treat infections of TIVAPs, improve the children’s healing time, and has important clinical significance in the prevention of complications from the infection and improving the treatment and nursing of the patients diagnosed with these infections.Keywords: totally implantable venous access port, short bowel syndrome and solid abdominal tumours, catheter-related bloodstream infection, cluster nursing management
