Background and Importance To support a simple and quality-assured outpatient parenteral antibiotic therapy (OPAT) workflow, the hospital pharmacy offers specially prepacked boxes for use in the patient’s home after discharge. There are boxes for three different antibiotics; benzylpencillin, cefuroxime and piperacillin/tazobactam, containing antibiotic powder, utensils and solvent for three days of treatment. Another box contains only utensils and solvent for three administrations.
Aim and Objectives The aim is to explore knowledge, opinion and wishes to the prepacked antibiotic and utensils boxes in attempt to fulfil the needs of the hospital wards.
Material and Methods In an electronic questionnaire with 17 questions, one nurse at each hospital ward was asked about their knowledge, opinion and wishes to the antibiotics and utensils boxes.
All hospitals wards in Central Denmark Region that discharge patients to OPAT received a questionnaire. The questionnaire was designed after interview with two nurses and pilot tested by two other nurses on different wards.
Results 39 wards of 53 (74%) responded to the questionnaire. The results confirmed that the boxes are valued in the OPAT workflow on the hospital wards. 87% knew about some of the antibiotics boxes, 59% knew about the utensils box. There was agreement (97%) that the uniformity that comes with the boxes, contributes to patients‘ safety in primary-care.
There was general satisfaction with the number of treatment days in the boxes. One third of respondents would have liked a supplementary box with one day of antibiotic treatment, enabling a more flexible solution and reduced drug waste. 25% would like boxes containing other antibiotics.
Several commented on the availability of the boxes on the wards, as a factor that sometimes prevents use.
Conclusion and Relevance The survey shows that the boxes are known and highly appreciated, but there is a need to increase knowledge about all the boxes and improve their availability.
Currently the existing prepacked boxes cover most cases of OPAT, but a supplement of a one-day treatment may provide a more flexible solution with less drug waste.
To evaluate the wishes for other antibiotics in prepacked boxes, more data about use of antibiotics for OPAT patients is needed.
Conflict of Interest No conflict of interest
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.