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Implementation of IV Push Antibiotics for Outpatients During a National Fluid Shortage Following Hurricane Maria.
Yagnik, Kruti J; Brown, L Steven; Saad, Hala A; Alvarez, Kristin; Mang, Norman; Bird, Cylaina E; Cerise, Fred; Bhavan, Kavita P.
Afiliación
  • Yagnik KJ; Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Brown LS; Office of Research Administration, Parkland Health, Dallas, Texas, USA.
  • Saad HA; Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Alvarez K; Center of Innovation and Value at Parkland, Parkland Health, Dallas, Texas, USA.
  • Mang N; Pharmacy Department, Parkland Health, Dallas, Texas, USA.
  • Bird CE; Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Cerise F; Office of Research Administration, Parkland Health, Dallas, Texas, USA.
  • Bhavan KP; Center of Innovation and Value at Parkland, Parkland Health, Dallas, Texas, USA.
Open Forum Infect Dis ; 9(5): ofac117, 2022 May.
Article en En | MEDLINE | ID: mdl-35493115
Background: Prior to the introduction of intravenous (IV) drip infusion, most IV drugs were delivered in a syringe bolus push. However, intravenous drip infusions subsequently became the standard of care. Puerto Rico is the largest supplier of IV fluid bags and in the aftermath of Hurricane Maria, there was a nationwide fluid bag shortage. This shortage required stewardship measures to maintain the operation of the self-administered outpatient parenteral antimicrobial therapy (OPAT) program at Parkland Health. Methods: Parkland pharmacists evaluated all self-administered antimicrobials for viability of administration as an IV syringe bolus push (IVP) instead of an IV-drip infusion. Medications deemed appropriate were transitioned to IVP. The hospital EMR was used to identify patients discharged to the OPAT clinic using all methods of parenteral drug delivery. Data was collected for patient demographics, patient satisfaction, and clinical outcomes. Finally cost of care was calculated for IVP and IV drip administration. Results: One-hundred and thirteen self-administered IVP and 102 self-administered IV drip treatment courses were identified during the study period. Individuals using IVP had a statistically significant decrease in hospital length of stay. Patient satisfaction was greater with IVP and IVP saved 504 liters of normal saline resulting in a savings of $43,652 over 6 months. The 30-day readmission rate and mortality were similar. Conclusion: The abrupt IV fluid shortage following a natural disaster led to implementation of a high value care model that improved efficiency, reduced costs, and did not affect safety or efficacy.
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Texto completo: 1 Banco de datos: MEDLINE Idioma: En Revista: Open Forum Infect Dis Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Banco de datos: MEDLINE Idioma: En Revista: Open Forum Infect Dis Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos