Impact of a Qualitative Intervention with a Unique Febrile Neutropenia Management Protocol in Haematological Patients in a Tertiary Centre

Pati, Nalini

doi:10.15406/htij.2017.04.00090

Cited by 1 publication

(6 citation statements)

References 20 publications

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“…Previous studies have found a correlation between delayed antibiotics and patients being admitted to ICU. 5,14 Similarly, the present study found that 19% of inpatients who had antibiotics administered over the 60 minutes timescale were admitted into ICU, compared to those under 60 minutes. Similar findings were reported for patients in the outpatient areas where 10% of patients given antibiotics over 60 minutes were also admitted into ICU.…”

Section: Patient Outcomesupporting

confidence: 64%

“…Similarly, a previous study also reported similar reasons for delays in broad-spectrum antibiotic administration. 5 Increasing awareness of the FN pathway among medical staff to ensure appropriate review and care escalation were highlighted as important aspects in improving protocol adherence in their study. 5 Mean time for broad-spectrum antibiotic administration from medical officer review time was significantly lower at 48±5 minutes for outpatients.…”

Section: Delays In Antibiotic Administrationmentioning

confidence: 99%

“…5 Increasing awareness of the FN pathway among medical staff to ensure appropriate review and care escalation were highlighted as important aspects in improving protocol adherence in their study. 5 Mean time for broad-spectrum antibiotic administration from medical officer review time was significantly lower at 48±5 minutes for outpatients. The reason/s for a lower mean time in broad-spectrum antibiotic administration for outpatient compared to inpatient may have been due to the effective use of the triage system in ED, access to medical officer and their ability to prescribe broad-spectrum antibiotic in the outpatient clinics.…”

Section: Delays In Antibiotic Administrationmentioning

confidence: 99%

“…The definition of FN varies across institutions and states. 5 An alternative definition regards FN as a temperature of 38.3° celsius and/ or a neutrophil count of <1.5 x 10 9 /L. 61 For the purpose of this study, the definition from the FN management pathway will be used.…”

Section: Introductionmentioning

confidence: 99%

“…Hypothermia and hypotension in combination with neutropenia can lead to severe sepsis. 5 Medical and nursing staff need to be aware of all signs indicating sepsis, and act promptly. 7 The FN pathway advises urgent review by a senior medical officer (Registrar).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Nurse-led study on treatment delay and streamlining antibiotic therapy among haematology patients with febrile neutropenia post chemotherapy

Shelley¹,

Thomas²,

Strickland³

2023

AJAN

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Objective:The aim of the study is to identify gaps that exist among health professionals that may impact practices in caring effectively for patients with febrile neutropenia (FN).Background: Haematology patients with FN following chemotherapy frequently experience delays in antibiotic administration that may be linked to poorer clinical outcomes. To aid timely review and treatment, FN care pathways have been developed. However, observations of clinical practice and patient anecdotal reports have highlighted that the care pathways may not be adhered to. The impact on patient care outcomes due to treatment delays and the rate of protocol adherence to the FN management pathway is unknown due to insufficient evidence.Methods: Using the Clinical Records Integrated System (CRIS), data were collected by auditing patients' electronic health records (EHR) from November 2017 through to November 2018. Information retrieved were screened using the inclusion and exclusion criteria.Inclusion criteria: Haematology patients with FN (temperature ≥ 38° and neutrophil count < 1.0 x10 9 /L) post chemotherapy, and 18 years or older.Exclusion criteria: Medical oncology patients and patients who were under 17 years old. Results:The mean time for antibiotic administration from first temperature spike was 90±15 minutes for inpatients (n=48). The mean time for antibiotic administration from medical officer review was

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Section: Patient Outcomesupporting

confidence: 64%

Section: Delays In Antibiotic Administrationmentioning

confidence: 99%