학술논문

A hospital at home case report: Prolonged amphotericin B therapy via elastomeric pump.
Document Type
Article
Source
American Journal of Health-System Pharmacy. 2/15/2023, Vol. 80 Issue 4, p227-235. 9p. 1 Diagram, 3 Charts.
Subject
*DRUG administration routes
*AMPHOTERICIN B
*INTRAVENOUS therapy
*HOME care services
*HOSPITAL care
*CRITICAL care medicine
*DRUG stability
*HISTOPLASMOSIS
*LONG-term health care
Language
ISSN
1079-2082
Abstract
Purpose Hospital at home is an alternative means of providing inpatient care for a patient requiring prolonged liposomal amphotericin B therapy. Summary Hospital at home is a unique care model that allows patients to receive inpatient hospital care within the comfort of their home and can be seen as an alternative care site for patients with complex treatment regimens that may require prolonged hospitalization. Hospital systems have increasingly begun incorporating hospital at home programs into their inpatient service lines. We present the case of a patient with disseminated histoplasmosis requiring a prolonged course of intravenous liposomal amphotericin B therapy. Because of the complex administration and stability of this medication, care is often provided in an inpatient setting. The Vanderbilt University Medical Center Hospital at Home team was able to coordinate resources and services to allow for this patient to receive acute hospital care at home and continue to receive amphotericin B infusion. Conclusion This experience spotlights how hospital at home can be considered for patients requiring ongoing inpatient care for prolonged intravenous treatment courses. [ABSTRACT FROM AUTHOR]