Time to first antibiotic administration in The Alfred Emergency and Trauma Centre for suspected febrile neutropenia: a retrospective chart review
Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
Introduction: Febrile neutropenia (FN) is a frequent complication of chemotherapy use in cancer patients. There is evidence to suggest that the time to antibiotic administration is associated with increase survival and effective clinical outcome. The Australian consensus guidelines for the management of FN in adult cancer patients recommends treatment within 30 minutes to patients with features of systemic compromise. A study performed at The Alfred Hospital in 2010 revealed a median time of 145 minutes to first antibiotic administration. A new guideline was therefore developed and education was implemented. This study was conducted to evaluate the intervention. Aim: To determine time to first antibiotic prescribing and administration for patients with suspected FN presenting to the Alfred Emergency and Trauma centre. Materials and Methods: The electronic medical record of 112 episodes of suspected FN presenting between March and August 2012 were reviewed. Data were retrospective collected according to a FN data spreadsheet. An observational study were also performed at The Alfred Emergency and Trauma centre during October and November 2012 to determine time to first antimicrobial prescribing, because this data could not be collected from the electronic medical record. Results: The median time from presentation to antibiotic prescribing was 68 minutes. The median time from presentation to antibiotic administration was 121 minutes. Conclusions: The implementation of the new guidelines has reduced the time with 16.6%, but the target first antibiotic administration within 30 minutes has not been reached.
Place, publisher, year, edition, pages
2012. , 36 p.
Febrile neutropenia, antibiotic, administration, prescribing, timefaktor
Social and Clinical Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-193286OAI: oai:DiVA.org:uu-193286DiVA: diva2:601752
Alfred Hospital, Melbourne, Australia
Subject / course
Master of Science Programme in Pharmacy
Poole, Susan, Research Co-ordinator
Hammarlund-Udenaes, Margareta, Professor of Pharmacokinetics and Pharmacodynamics