Does letting adolescent and young adult inpatients share decisions in choosing the central-line insertion site reduce central-line-associated bloodstream infections? An empty systematic review

Author:

Rosati Paola1ORCID,Crocoli Alessandro2ORCID,Saulle Rosella3,Amato Laura3,Brancaccio Matilde45,Mitrova Zuzana3,Ciliento Gaetano4,Ciofi degli Atti Marta1,Raponi Massimiliano6

Affiliation:

1. Clinical Pathways and Epidemiology Unit, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

2. Department of Surgery and Surgical Oncology Unit, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

3. Department of Epidemiology, Lazio Regional Health Service, Rome, Italy

4. Health Management Department, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

5. Critical Care Department, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy

6. Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

Abstract

To study whether allowing adolescents and young adults (AYA) with chronic or oncologic diseases admitted to tertiary or intensive care units to share decisions in choosing the insertion site for central-venous catheters (CVC) implanted for intravenous therapies or parenteral nutrition reduces central-line-associated and catheter-related bloodstream infections (CLABSI and CRBSI). Following the PRISMA guidelines, we systematically reviewed the literature by searching MEDLINE, Embase, CINAHL, CENTRAL, SCOPUS, Cochrane Library, and Web of Science up to December 2019. According to our aims, the review identified no study that could be included. This empty systematic review on healthcare teams allowing AYA with chronic or oncologic diseases admitted in tertiary or intensive care units to share decisions in choosing the site for implanting CVC prompts further research on clinical pathways on this hot-topic. By considering purportedly risk-taking behaviors in youngsters thus reducing CLABSI and CRBSI, healthcare teams should test specific strategies by engaging AYA empathetically in sharing decisions on the site for implanting CVC to improve quality in health care bundles.

Funder

ministry of health

Publisher

SAGE Publications

Subject

Nephrology,Surgery

Reference44 articles.

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