![]() ![]() Lehrnbecher T, Robinson P, Fisher B, et al.This golden hour elopement at a hilltop hacienda outside San Diego brings together luxe gold velvet, amber and garnet Italian-inspired decor, and sustainable flowers for an unforgettable day! This collaboration between Lovely Light Imagery and H & L Lovely Creations created a magical atmosphere in the gilded sunlight of Southern California, with the Spanish villa style and stunning views from Las Mariposas Estate to inspire them! Le Champagne Projects‘ eco-friendly floral designs and the most beautifully styled couple made for one chic celebration! Gorgeous Photos for a Golden Hour Elopement ![]() Guideline for the management of fever and neutropenia in children with cancer and/or undergoing hematopoietic stem-cell transplantation J Clin Oncol 304427–44382012 Lehrnbecher T, Phillips R, Alexander S, et al. ![]() Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA) Infect Control Hosp Epidemiol 31431–4552010 Pizzo PA.Management of patients with fever and neutropenia through the arc of time: A narrative review Ann Intern Med 170389–3972019Ĭohen SH, Gerding DN, Johnson S, et al. Pizzo PA.Management of fever in patients with cancer and treatment-induced neutropenia N Engl J Med 3281323–13321993 Improving local infrastructure, ongoing monitoring systems, and leadership engagement have been key factors to achieving sustainability during the 5-year period. Mentoring and dissemination were novel components of the multimodal strategy to improve FN-associated clinical outcomes. Our results demonstrate that locally adapted multimodal interventions can reduce TTA in resource-constrained settings. The proportion of patients with sepsis decreased from 30% (baseline) to 5% (phase III) ( P =. 023) in the inpatient area and 30 minutes ( P =. ![]() In phase III (sustainability), the median TTA was 40 minutes ( P =. We significantly decreased median TTA in both clinical areas during the three phases of the study. After implementing our improvement strategy, the percentage of patients receiving antibiotics within 60 minutes of prescription increased to 88%. The baseline assessment revealed that only 50% of patients received antibiotics within 60 minutes of prescription (median time: inpatient, 75 minutes ambulatory, 65 minutes). Our population included 105 children with cancer with 204 FN events. Sustainability factors were measured by using a validated tool during phases I and III. A three-phase (phase I: execution, phase II: consolidation, phase III: sustainability) multimodal improvement strategy that combined system change, FN guideline development, education, auditing and monitoring, mentoring, and dissemination was implemented to decrease TTA in inpatient and ambulatory areas. We conducted a prospective observational study between January 2014 and April 2019. We assessed the effectiveness of a locally adapted multimodal strategy in decreasing TTA in a resource-constrained pediatric cancer center in Mexico. Effective interventions to improve outcomes in cancer patients with febrile neutropenia (FN) often address timely and appropriate antibiotic administration. Time to antibiotic administration (TTA) is a commonly used standard of care in pediatric cancer settings in high-income countries. ![]()
0 Comments
Leave a Reply. |