Home iv Antibiotic Therapy through a Medical Day Care Unit

An out-patient parenteral antibiotic therapy program provided through a medical day care unit was evaluated in a tertiary care hospital. From July 11, 1988 to December 31, 1990, 122 patients were treated either on site at the unit or at home with self-administered intravenous antibiotics. In all, 14...

Full description

Saved in:
Bibliographic Details
Main Authors: Marie Gourdeau, Louise Deschênes, Martine Caron, Marc Desmarais
Format: Article
Language:English
Published: Wiley 1993-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1993/412737
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849401039731556352
author Marie Gourdeau
Louise Deschênes
Martine Caron
Marc Desmarais
author_facet Marie Gourdeau
Louise Deschênes
Martine Caron
Marc Desmarais
author_sort Marie Gourdeau
collection DOAJ
description An out-patient parenteral antibiotic therapy program provided through a medical day care unit was evaluated in a tertiary care hospital. From July 11, 1988 to December 31, 1990, 122 patients were treated either on site at the unit or at home with self-administered intravenous antibiotics. In all, 142 courses of parenteral antibiotics (mostly cephalosporins and clindamycin) were given for a total of 124 infections, mostly bone and soft tissue infections (67 of 124, 54%). The duration of out-patient therapy ranged from two to 62 days with a mean duration of 9.4 days if treated at the unit, or 13.2 days in the home care model (1476 patient-days). Vein access was peripheral and catheters remained functional for an average of 4.9 days (range 0.5 to 22 days). Only two patients experienced adverse drug reactions that necessitated modification of treatment. One other case was readmitted to the hospital for surgical debridement. The average cost per patient-day was $66 compared with $375 for in-hospital therapy. This program proved to be safe, efficient, and cost-effective.
format Article
id doaj-art-8a8424be48bc409bab58df00b5067393
institution Kabale University
issn 1180-2332
language English
publishDate 1993-01-01
publisher Wiley
record_format Article
series Canadian Journal of Infectious Diseases
spelling doaj-art-8a8424be48bc409bab58df00b50673932025-08-20T03:37:51ZengWileyCanadian Journal of Infectious Diseases1180-23321993-01-014315816210.1155/1993/412737Home iv Antibiotic Therapy through a Medical Day Care UnitMarie Gourdeau0Louise Deschênes1Martine Caron2Marc Desmarais3Departments of Medicine, Clinical Microbiology, and Pharmacy, Hôpital de l’Enfant-Jésus, Université Laval, Québec, CanadaDepartments of Medicine, Clinical Microbiology, and Pharmacy, Hôpital de l’Enfant-Jésus, Université Laval, Québec, CanadaDepartments of Medicine, Clinical Microbiology, and Pharmacy, Hôpital de l’Enfant-Jésus, Université Laval, Québec, CanadaDepartments of Medicine, Clinical Microbiology, and Pharmacy, Hôpital de l’Enfant-Jésus, Université Laval, Québec, CanadaAn out-patient parenteral antibiotic therapy program provided through a medical day care unit was evaluated in a tertiary care hospital. From July 11, 1988 to December 31, 1990, 122 patients were treated either on site at the unit or at home with self-administered intravenous antibiotics. In all, 142 courses of parenteral antibiotics (mostly cephalosporins and clindamycin) were given for a total of 124 infections, mostly bone and soft tissue infections (67 of 124, 54%). The duration of out-patient therapy ranged from two to 62 days with a mean duration of 9.4 days if treated at the unit, or 13.2 days in the home care model (1476 patient-days). Vein access was peripheral and catheters remained functional for an average of 4.9 days (range 0.5 to 22 days). Only two patients experienced adverse drug reactions that necessitated modification of treatment. One other case was readmitted to the hospital for surgical debridement. The average cost per patient-day was $66 compared with $375 for in-hospital therapy. This program proved to be safe, efficient, and cost-effective.http://dx.doi.org/10.1155/1993/412737
spellingShingle Marie Gourdeau
Louise Deschênes
Martine Caron
Marc Desmarais
Home iv Antibiotic Therapy through a Medical Day Care Unit
Canadian Journal of Infectious Diseases
title Home iv Antibiotic Therapy through a Medical Day Care Unit
title_full Home iv Antibiotic Therapy through a Medical Day Care Unit
title_fullStr Home iv Antibiotic Therapy through a Medical Day Care Unit
title_full_unstemmed Home iv Antibiotic Therapy through a Medical Day Care Unit
title_short Home iv Antibiotic Therapy through a Medical Day Care Unit
title_sort home iv antibiotic therapy through a medical day care unit
url http://dx.doi.org/10.1155/1993/412737
work_keys_str_mv AT mariegourdeau homeivantibiotictherapythroughamedicaldaycareunit
AT louisedeschenes homeivantibiotictherapythroughamedicaldaycareunit
AT martinecaron homeivantibiotictherapythroughamedicaldaycareunit
AT marcdesmarais homeivantibiotictherapythroughamedicaldaycareunit