Cellulitis: Home or Inpatient Intravenous Therapy in a Veteran Population
Autor: | Tasha Cheatham-Wilson, Bonnie Clark, Rebekah A. Wahking |
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Rok vydání: | 2019 |
Předmět: |
Community and Home Care
education.field_of_study medicine.medical_specialty 030504 nursing Leadership and Management business.industry medicine.medical_treatment Population Public Health Environmental and Occupational Health Pharmacy Multidisciplinary team medicine.disease Treatment efficacy 03 medical and health sciences 0302 clinical medicine Intravenous therapy Cellulitis Emergency medicine medicine 030212 general & internal medicine 0305 other medical science business education |
Zdroj: | Home Health Care Management & Practice. 32:127-133 |
ISSN: | 1552-6739 1084-8223 |
Popis: | There are few studies describing outpatient parenteral antimicrobial therapy (OPAT) for cellulitis treatment. The Hospital in Home (HIH) program is a multidisciplinary team at the Cincinnati VA Medical Center (CVAMC) that provides acute care in patients’ homes similar to inpatient hospital care for a variety of indications, including cellulitis. Efficacy of OPAT for cellulitis treatment in the HIH program has not been directly compared with inpatient treatment. The primary objective of this retrospective review is to compare the rates of efficacy of intravenous (IV) antibiotics for cellulitis treatment for patients followed by HIH and inpatient settings. Treatment failure was defined as a change in IV antibiotic medications prescribed. A retrospective chart review was completed at CVAMC for patients enrolled in HIH ( n = 111) and patients who received inpatient treatment at CVAMC ( n = 111) with IV antibiotics for a primary diagnosis of cellulitis from January 1, 2014, through June 30, 2018. Six patients in the HIH group experienced IV antibiotic treatment failure compared with 11 in the inpatient group. The HIH group showed non-inferiority in rates of treatment failure compared with the inpatient group ( p = .21). OPAT with the HIH program appears to be non-inferior to inpatient IV antibiotic treatment for cellulitis infections. Tolerance issues and rates of adverse events do not appear to be worse in patients treated with OPAT in the Veteran population. |
Databáze: | OpenAIRE |
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