Reply To: Alternating lumens for antibiotic coverage of central lines in febrile neutropenia

  • Amy Haskamp

    Member
    October 7, 2013 at 7:52 am

    We stopped alternating lumens for antibiotic therapy several years ago for the very fact that there was no evidence to support the practice.  If we identify that one particular lumen is positive, we will infuse all antibiotics into that lumen, however.  We have not found any ill effects of our change in practice.

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    Amy Haskamp
    Pediatric Clinical Nurse Specialist
    Riley Hematology-Oncology at IU Health North Hospital
    Carmel, IN
    United States
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    Original Message:
    Sent: 10-07-2013 07:17 AM
    From: Marjorie Salas
    Subject: Alternating lumens for antibiotic coverage of central lines in febrile neutropenia

    This message has been cross posted to the following Discussions: APHON Open Forum and Advanced Practice Nurses .
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    Hello all,

    I am interested in finding out how different institutions are addressing antibiotic administration in children with febrile neutropenia who have central lines with multiple lumens.  I was curious if anyone has found any evidence based practice articles addressing guidelines for this issue.

    Common practice is alternating lumens.  I have tried to conduct a literature search but have only found articles recommending the practice of alternating lumens dating back to the 1990’s.  Is there recent literature to support this practice?  Please let me know the practice at your institution and if you are aware recent literature addressing this issue.

    Thank you,
    Marjorie Salas, CPNP

    am interested in finding out how different institutions are addressing antibiotic administration in children with febrile neutropenia who have central lines with multiple lumens.  I was curious if anyone has found any evidence based practice articles addressing this.  Common practice for this is alternating lumens. Is there recent literature to support this practice.  Please 

    I am interested in finding out how different institutions are addressing antibiotic administration in children with febrile neutropenia who have central lines with multiple lumens.  I was curious if anyone has found any evidence based practice articles addressing this.  Common practice for this is alternating lumens. Is there recent literature to support this practice.  Please 
    I am interested in finding out how different institutions are addressing antibiotic administration in children with febrile neutropenia who have central lines with multiple lumens.  I was curious if anyone has found any evidence based practice articles addressing this.  Common practice for this is alternating lumens. Is there recent literature to support this practice.  Please 
    I am interested in finding out how different institutions are addressing antibiotic administration in children with febrile neutropenia who have central lines with multiple lumens.  I was curious if anyone has found any evidence based practice articles addressing this.  Common practice for this is alternating lumens. Is there recent literature to support this practice.  Please