Reply To: Mouth care in AML patients/Dressing changes

  • Mary Lynn Rae

    Member
    October 7, 2014 at 4:41 pm

    We do not have a good oral care regimen for AML patients but we are working on it.  Also, you might not be able to prevent infections in these patients if they fall in the MBI-LCBI category but of course we will try (i.e. due to high dose cytarabine).

    We change CVC dressings, needles Q7 days.  If the dressing is loose, soiled or wet it is changed but we do not change the needle for ports just the dressing.

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    Mary Lynn Rae
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 10-07-2014 04:31 PM
    From: Ashlee Stofferahn
    Subject: Mouth care in AML patients/Dressing changes

    I have a couple questions for anyone willing to share information:

    1) Does anyone do specific mouth care in AML patients post chemo while they are neutropenic?? We don’t have a standard practice but have had a couple of blood cultures come back positive for mouth bugs that we relate to mucositis/open sores and are wondering if any institutions have implemented anything with good results.

    2) Our standard practice for central line dressing changes is to change every 7 days and we re-access ports every 7 days as well, regardless if the dressing is clean, dry, and intact.  Wondering, has anyone changed their practice to PRN dressing changes/port access? Sometimes these things can be so traumatic to our young patients. 

    Any input would be appreciated!

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    Ashlee Stofferahn RN, MSN, PCNS-BC
    Peds Oncology Coordinator
    Sanford Children’s Hospital
    Sioux Falls, SD
    United States
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