caa a22 4500 397592000 CHVBK 20180308164941.0 cr unu---uuuuu 161202e199605 xx s 000 0 eng 10.1093/jac/37.5.1023 doi (NATIONALLICENCE)oxford-10.1093/jac/37.5.1023 Safe intravenous antibiotic therapy at home: experience of a UK basedprogramme [Elektronische Daten] [J. Kayley, A. R. Berendt, M. J. M. Snelling, H. Moore, H. C. Hamilton, T. E. A. Peto, D. W. M. Crook, C. P. Conlon] Outpatient iv antibiotic therapy is well developed in the United States, largely because of pressures from third-party payers to reduce costs of medical care. We have developed an outpatient iv antibiotic programme in Oxford, that has evolved from a desire to provide high quality iv therapy to AIDS patients with cytomegalovirus retinitis. We describe the rationale of the service and report on our first two years' experience. We treated 67 consecutive patients (eight with HIV infection) at home with iv antibiotics. This resulted in a saving of 2275 hospital days for those patients without HIV infection. HIV positive patients received 69 months of home iv therapy. Minor intravascular catheter complications occurred in only five patients (7.5%). The only serious complications were three episodes of catheter-related sepsis (4.5%), all occurring in AIDS patients who had lines in for more than six months. We have shown that home iv antibiotic therapy can be delivered safely to patients with a wide variety of infectious problems using the existing network of community nurses in the National Health Service. Essential components to the programme include a multidisciplinary team working between the hospital and community and a written shared care protocol. Such a programme can result in reduced lengths of hospital stay and patient, community nurse and physician satisfaction. © 1996 The British Society for Antimicrobial Chemotherapy Antimicrobial practice nationallicence Kayley J. Community Nursing, East Oxford Health Centre Oxford aut Berendt A. R. Infectious Diseases Unit, Nuffield Department of Medicine, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut Snelling M. J. M. Pharmacy Department, Churchill Hospital Oxford aut Moore H. Community Nursing, East Oxford Health Centre Oxford aut Hamilton H. C. TPN Service, Department of Surgery, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut Peto T. E. A. Infectious Diseases Unit, Nuffield Department of Medicine, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut Crook D. W. M. Department of Microbiology, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut Conlon C. P. Infectious Diseases Unit, Nuffield Department of Medicine, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut Journal of Antimicrobial Chemotherapy Oxford University Press 37/5(1996-05), 1023-1029 0305-7453 37:5<1023 1996 37 jac https://doi.org/10.1093/jac/37.5.1023 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/jac/37.5.1023 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kayley J. Community Nursing, East Oxford Health Centre Oxford aut NATIONALLICENCE 700 1- Berendt A. R. Infectious Diseases Unit, Nuffield Department of Medicine, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut NATIONALLICENCE 700 1- Snelling M. J. M. Pharmacy Department, Churchill Hospital Oxford aut NATIONALLICENCE 700 1- Moore H. Community Nursing, East Oxford Health Centre Oxford aut NATIONALLICENCE 700 1- Hamilton H. C. TPN Service, Department of Surgery, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut NATIONALLICENCE 700 1- Peto T. E. A. Infectious Diseases Unit, Nuffield Department of Medicine, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut NATIONALLICENCE 700 1- Crook D. W. M. Department of Microbiology, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut NATIONALLICENCE 700 1- Conlon C. P. Infectious Diseases Unit, Nuffield Department of Medicine, Oxford Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK aut NATIONALLICENCE 773 0- Journal of Antimicrobial Chemotherapy Oxford University Press 37/5(1996-05), 1023-1029 0305-7453 37:5<1023 1996 37 jac Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford