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Treatment of central venous catheters and the occurence of complications in pediatric patients hospitalised at hematoooncology
Homolková, Kateřina ; Hromádková, Jaroslava (advisor) ; Průšová, Kateřina (referee)
The bachelor thesis "Management of central venous catheters and their complications in pediatric patients hospitalized in hematology-oncology departments" deals with the care of CVC and their complications in pediatric hematology-oncology in the Czech Republic. The aim of the thesis was primarily to map the knowledge about the management of CVC among pediatric and general nurses working in pediatric hematology-oncology departments and to compare different management methods. The theoretical part consists of four chapters focusing on the venous system, general information about CVC, management of CVC, and complications that may occur. The empirical part presents the data collection method, implementation of the study, overview of the results and recommendations for practice. The research method used was a questionnaire of own construction, focusing on the management of CVC. The questionnaire was distributed to nurses working in pediatric hematology-oncology departments. Results: For statistical evaluation, 4 hypotheses related to: Length of practice, education level, type of workplace, and completion of training on CVC management were chosen. The results of the research demonstrate good knowledge among respondents in the area of managing CVC. The only shortcomings are the low presence of specialized workers...
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Problem of sepsis in the intensive care unit
Škrabánková, Hana ; Marková, Eva (advisor) ; Jankovcová, Kateřina (referee)
The aim of the thesis was to determine the microbial colonization at the injection site of central venous catheter and its possible influence to maintain the lowest incidence of catheter sepsis. The culture results of skin swabs and taken blood cultures from two groups of patients were compared with each other using qualitative analysis methods. Those were Intensive Care Unit patients with established central venous catheter. The result was the discovery of microbial colonization of the skin and the representation of different pathogenic strains at the site of a central venous catheter for both established groups. Further showed that the higher the risk of microbial colonization with symptoms of catheter sepsis was seen where patients have central venous catheter established for longer period of time and have been treated under home parental nutrition program with stoma. The recommendation is the continuous education of health professionals to act in accordance with the latest preventive treatment recommendations, and the emphasis is mainly placed on hands cleaning and disinfecting as the hands of health professionals are one of the most common and risky way of transmission of pathogenic strains with potential nosocomial infection formation. Aseptic principles must be repeatedly communicated to all...
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Problem of sepsis in the intensive care unit
Škrabánková, Hana ; Marková, Eva (advisor) ; Jankovcová, Kateřina (referee)
The aim of the thesis was to determine the microbial colonization at the injection site of central venous catheter and its possible influence to maintain the lowest incidence of catheter sepsis. The culture results of skin swabs and taken blood cultures from two groups of patients were compared with each other using qualitative analysis methods. Those were Intensive Care Unit patients with established central venous catheter. The result was the discovery of microbial colonization of the skin and the representation of different pathogenic strains at the site of a central venous catheter for both established groups. Further showed that the higher the risk of microbial colonization with symptoms of catheter sepsis was seen where patients have central venous catheter established for longer period of time and have been treated under home parental nutrition program with stoma. The recommendation is the continuous education of health professionals to act in accordance with the latest preventive treatment recommendations, and the emphasis is mainly placed on hands cleaning and disinfecting as the hands of health professionals are one of the most common and risky way of transmission of pathogenic strains with potential nosocomial infection formation. Aseptic principles must be repeatedly communicated to all...
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