<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction:</bold> Childhood cancer, with its major psycho-social and health impact, needs long-term chemotherapy. Increasing the intensity of treatment results in improved outcomes of hematological malignancies and solid tumors. As cytostatics have a vascular irritating effect and multiple peripheric venous punctures cause pain, insertion of a long-term central venous catheter (CVC) during chemotherapy is often necessary.<bold>Materials and methods:</bold> All pediatric patients (aged below 18 years) with hematologic and malignant pathologies who underwent CVC insertion at the Pediatric Hemato-oncology Department of the County Emergency Clinical Hospital of Tîrgu Mureș in the February 2014 – May 2016 period were enrolled in the study.<bold>Results:</bold> We recorded 24 cases who received central venous catheters, out of which 14 patients received tunneled CVC, 7 patients port CVC, and 3 patients received initially tunneled CVC which was changed with port CVC. Tunneled catheters were preserved in average for 186.06 days and portacaths for 256.6 days. For infection prophylaxis and treatment every child received adequate antibiotic medication.<bold>Conclusions:</bold> The use of central lines in pediatric hemato-oncology is accessible and benefic not only for increasing patient comfort, but also to ease the nurses' work, who are often overburdened.</abstract>

Introduction: Childhood cancer, with its major psycho-social and health impact, needs long-term chemotherapy. Increasing the intensity of treatment results in improved outcomes of hematological malignancies and solid tumors. As cytostatics have a vascular irritating effect and multiple peripheric venous punctures cause pain, insertion of a long-term central venous catheter (CVC) during chemotherapy is often necessary.Materials and methods: All pediatric patients (aged below 18 years) with hematologic and malignant pathologies who underwent CVC insertion at the Pediatric Hemato-oncology Department of the County Emergency Clinical Hospital of Tîrgu Mureș in the February 2014 – May 2016 period were enrolled in the study.Results: We recorded 24 cases who received central venous catheters, out of which 14 patients received tunneled CVC, 7 patients port CVC, and 3 patients received initially tunneled CVC which was changed with port CVC. Tunneled catheters were preserved in average for 186.06 days and portacaths for 256.6 days. For infection prophylaxis and treatment every child received adequate antibiotic medication.Conclusions: The use of central lines in pediatric hemato-oncology is accessible and benefic not only for increasing patient comfort, but also to ease the nurses' work, who are often overburdened.

The Care of Central Venous Catheters in the Oncopediatric Department

Department of Pediatrics, County Emergency Clinical Hospital, University of Medicine and Pharmacy, Tîrgu Mureș,

Clinic of Cardiology, University of Medicine and Pharmacy, Tîrgu Mureș,

Department of Anesthesy and Intensive Therapy, County Emergency Clinical Hospital, Tîrgu Mureș,

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"The Care of Central Venous Catheters in the Oncopediatric Department"}

Introduction: Childhood cancer, with its major psycho-social and health impact, needs long-term chemotherapy. Increasing the intensity of treatment results in...

The Care of Central Venous Catheters in the Oncopediatric Department

Online veröffentlicht: 23. Okt. 2016

Seitenbereich: 159 - 164

Eingereicht: 04. Mai 2016

Akzeptiert: 29. Mai 2016

DOI: https://doi.org/10.1515/jim-2016-0026

Schlüsselwörter
child, cancer, central venous catheter

© 2016 Zsuzsanna Erzsébet Papp et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The Care of Central Venous Catheters in the Oncopediatric Department

Online veröffentlicht: 23. Okt. 2016

Seitenbereich: 159 - 164

Eingereicht: 04. Mai 2016

Akzeptiert: 29. Mai 2016

DOI: https://doi.org/10.1515/jim-2016-0026

Schlüsselwörterchild, cancer, central venous catheter

© 2016 Zsuzsanna Erzsébet Papp et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Schlüsselwörter
child, cancer, central venous catheter