Safety of continuous antibiotic infusions administered through an Australian hospital in the home service: A pilot study

Kedar H. Pandya, Vaughn Eaton, Stefan Kowalski, Janet Sluggett

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Background: Few studies have assessed the safety of antibiotic infusions in the hospital in the home (HITH) setting, or the vascular access and ambulatory infusion devices used for delivering these infusions. Aim: To explore treatments and health outcomes for HITH patients administered continuous antibiotic infusions through an ambulatory infusion device. Method: Case notes for patients managed by a HITH service affiliated with a large metropolitan hospital were retrospectively audited. Consecutive patients treated for cellulitis, osteomyelitis, endocarditis, diabetic foot infection or septic arthritis between January and September 2014, and receiving intravenous antibiotic therapy through an ambulatory infusion device, were included. Patients were followed until discharge from HITH to determine adverse outcomes related to antibiotic therapy, including administration devices. Results: The audit recruited 31 patients with a median age of 62 years; 17 (55%) were male. Overall 14 adverse events were experienced by 10 (32%) patients. Of the 14 adverse events, nine (64%) were medication-related, one (7%) related to a vascular access device and four (29%) were infusion device-related. Therapeutic failure occurred in four patients; three were re-hospitalised; and one had their therapy extended. Most patients had an infusion that was identified as not running to completion on at least one occasion at the time of their home visit (81%), or problems with flushing lines or aspirating blood from the vascular access devices (35%). Conclusion: Adverse events were commonly observed among patients receiving continuous antibiotic infusions in this pilot study. Further research is needed to identify patients at risk of adverse events.

Original languageEnglish
Pages (from-to)333-339
Number of pages7
JournalJournal of Pharmacy Practice and Research
Volume47
Issue number5
DOIs
Publication statusPublished or Issued - 1 Oct 2017
Externally publishedYes

Keywords

  • Adverse outcomes
  • Antibiotic administration
  • Hospital in the home
  • Outpatient parenteral antimicrobial therapy

ASJC Scopus subject areas

  • Pharmacy
  • Pharmacology (medical)

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