{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:52:00Z","timestamp":1777859520198,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Pediatr Oncol Nurs"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study is to identify controllable treatment-environment-related factors affecting the timing of a central line-associated bloodstream infection (CLABSI) onset in children with cancer with central venous catheters (CVC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This study is a secondary data analysis with the data extracted from electronic medical records in a tertiary hospital in South Korea. This study was conducted by reviewing electronic medical records of 470 pediatric cancer patients younger than the age of 18 years from 2010 to 2016.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>The timing of a CLABSI onset was identified through the onset of CLABSI and the duration of catheterization. Cox proportional hazards regression analysis was used to estimate the impact of variables on the timing of CLABSI onset. The duration of catheterization was estimated using the Kaplan\u2013Meier method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Finding:<\/jats:title>\n                    <jats:p>Multivariable analysis by Cox proportional model analysis showed that there are six independent variables affecting the timing of a CLABSI onset: length of stay in hospital, catheter insertion location, use of antibiotics on day of catheter insertion, catheter function, number of blood transfusions per 100 days, and number of blood tests per 100 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The findings of this study provide a foundation for the development of EBP-based CVC guidelines to effectively reduce CLABSIs and maintain a long-term CVC without a CLABSI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1043454220966831","type":"journal-article","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T06:05:33Z","timestamp":1603692333000},"page":"26-35","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Factors Affecting the Timing of a Central Line Associated Bloodstream Infection Onset in Children with Cancer"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0951-7201","authenticated-orcid":false,"given":"Mina","family":"Park","sequence":"first","affiliation":[{"name":"Yonsei Cancer Center, Yonsei University Health System, Seoul, South Korea"},{"name":"Department of Nursing, Yonsei University Graduate School, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8241-1644","authenticated-orcid":false,"given":"Young-mi","family":"Seo","sequence":"additional","affiliation":[{"name":"Severance Eye Hospital, Yonsei University Health System, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoon Jung","family":"Shin","sequence":"additional","affiliation":[{"name":"Yonsei Cancer Center, Yonsei University Health System, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung Woo","family":"Han","sequence":"additional","affiliation":[{"name":"Yonsei Cancer Center, Yonsei University Health System, Seoul, South Korea"},{"name":"Yonsei University College of Medicine, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eunhee","family":"Cho","sequence":"additional","affiliation":[{"name":"Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1144-0795","authenticated-orcid":false,"given":"Hyeju","family":"Jang","sequence":"additional","affiliation":[{"name":"Provider Partners Health Plan, Linthicum Heights, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"bibr1-1043454220966831","doi-asserted-by":"crossref","unstructured":"Ammann R. 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