A novel intervention: Implementation of a neutropenic infection-prevention bundle and audit tool in an oncology unit

Ellen Evashwick; Michael A Ben-Aderet; Mathew Jp Almario; Meghan S Madhusudhan; Ryan Raypon; Sandra Rome; Kimako Desvignes; Jenny Jessup; Sharon Fawcett; Jonathan D Grein

doi:10.1016/j.ajic.2021.11.008

A novel intervention: Implementation of a neutropenic infection-prevention bundle and audit tool in an oncology unit

Am J Infect Control. 2022 Apr;50(4):454-458. doi: 10.1016/j.ajic.2021.11.008. Epub 2021 Nov 16.

Affiliations

¹ Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, CA.
² Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address: Michael.Ben-Aderet@cshs.org.
³ Department of Nursing, Cedars-Sinai Medical Center, Los Angeles, CA.

PMID: 34798177
DOI: 10.1016/j.ajic.2021.11.008

Abstract

Infectious complications are a significant cause of morbidity and mortality in patients with chemotherapy-induced neutropenia. Specific infection control practices targeting this patient population are widely endorsed, but little guidance exists on how to implement and monitor compliance with these practices. At our institution, we increased compliance with infection control measures by using a bundled neutropenic precaution (NP) audit and feedback tool.

Keywords: Bone MarrowTransplant; Chemotherapy induced neutropenia; Neutropenic Precautions; Patient hand-hygiene; central line associated bloodstream infection.

MeSH terms

Cross Infection* / prevention & control
Health Facilities
Humans
Infection Control
Neutropenia* / complications