Johnson Tanner M, Whitman Webster Leah C, Mehta Meera, Johnson Jessica E, Cortés-Penfield Nicolás, Rivera Christina G
Department of Pharmacy, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Department of Pharmacy, Mayo Clinic, Jacksonville, FL, USA.
Ther Adv Infect Dis. 2023 Aug 15;10:20499361231193920. doi: 10.1177/20499361231193920. eCollection 2023 Jan-Dec.
Intravenous push (IVP) antimicrobial administration refers to rapid bolus infusion of medication. This drug delivery method offers improved patient convenience, superior patient and nursing satisfaction, and cost savings when used in outpatient parenteral antimicrobial therapy (OPAT). Antimicrobial agents must demonstrate optimal physiochemical and pharmacologic characteristics, as well as sufficient syringe stability, to be administered in this manner. Additionally, impacts on medication tolerability, patient safety, and effectiveness must be considered. This narrative review summarizes the available data and practical implications of IVP administration of antimicrobials in the OPAT setting.
静脉推注抗菌药物是指快速大剂量输注药物。这种给药方式在门诊胃肠外抗菌治疗(OPAT)中使用时,能提高患者的便利性,提升患者及护理满意度,并节省成本。抗菌药物必须具备最佳的理化和药理特性,以及足够的注射器稳定性,才能以这种方式给药。此外,还必须考虑对药物耐受性、患者安全性和有效性的影响。这篇叙述性综述总结了在OPAT环境中静脉推注抗菌药物的现有数据及实际意义。