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Prevention of Infection: A Systematic Review of Evidence-Based Practice Interventions for Management in Patients With Cancer

Barbara J. Wilson
Laura J. Zitella
Colleen H. Erb
Jackie Foster
Mary Peterson
Sylvia K. Wood
CJON 2018, 22(2), 157-168 DOI: 10.1188/18.CJON.157-168

Background: Cancer-related infections lead to increases in mortality, antibiotic use, and hospital stays. Other adverse outcomes include dose delays and reductions, which can result in suboptimal treatment outcomes.

Objectives: Effective implementation of risk assessment and evidence-based interventions for the prevention and treatment of infection are essential to improve care and reduce costs related to infections in patients with cancer receiving immunosuppressive therapy.

Methods: The Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) prevention of infection resource have been developed and updated to identify and disseminate the best available scientific evidence.

Findings: Pharmacologic and nonpharmacologic interventions were evaluated, resulting in recommended for practice rating for catheter care bundles, antimicrobial prophylaxis, vaccination for specific populations, and implementation of contact precautions for resistant organisms.

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