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一项关于以更高给药速率使用10%免疫球蛋白产品的耐受性、满意度和成本降低的研究。

A Study of Tolerability, Satisfaction, and Cost Reduction Using a 10% Immunoglobulin Product at Higher Administration Rates.

作者信息

Bauer Susan, Fadeyi Michael, Chan Sheryl

机构信息

American Outcomes Management, LP, Fort Worth, Texas. Susan Bauer, BSN, RN, CRNI®, VA-BC, is director of patient services for American Outcomes Management. She has been employed in the home infusion industry for the past 30 years and has 20 years of experience with patients requiring immune globulin therapies. Michael Fadeyi, PharmD, MS, is the chief pharmacy officer for American Outcomes Management. He has more than 30 years' pharmacy experience (both academic and home infusion). Dr Fadeyi has published numerous journal articles pertaining to the home infusion industry. Sheryl Chan, RPH, is director of pharmacy for the New York branch of American Outcomes Management. She has been employed in the home infusion industry for the past 24 years.

出版信息

J Infus Nurs. 2019 Nov/Dec;42(6):297-302. doi: 10.1097/NAN.0000000000000347.

Abstract

Gammaplex 10% (immune globulin intravenous [human], Bio Products Laboratory, Ltd) can be administered with a 15-minute rate-escalation protocol. This analysis examined safety, patient satisfaction, and cost savings in 49 patients administered Gammaplex 10% via rapid infusion over 11 months. Fourteen patients reported 38 adverse reactions, 37 of which were deemed minor/moderate. Patient satisfaction was very good/outstanding. Infusions were estimated to be 2.4 hours shorter than previously administered intravenous immunoglobulin infusions, saving $151.61 per visit in nursing costs. Rapid infusion of Gammaplex 10% was found to be a safe option to reduce the costs of intravenous immunoglobulin treatment while maintaining patient satisfaction.

摘要

10%人免疫球蛋白静脉注射剂(Gammaplex,生物制品实验室有限公司生产)可采用15分钟速率递增方案给药。本分析研究了49例患者在11个月内通过快速输注接受10% Gammaplex治疗的安全性、患者满意度和成本节约情况。14例患者报告了38次不良反应,其中37次被认为是轻度/中度。患者满意度非常好/出色。据估计,输注时间比之前静脉注射免疫球蛋白输注缩短2.4小时,每次就诊节省护理成本151.61美元。研究发现,快速输注10% Gammaplex是一种安全的选择,可在维持患者满意度的同时降低静脉注射免疫球蛋白治疗的成本。

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