A multi-centre comparison of nursing staff time required for the preparation and administration of liposomal amphotericin B and amphotericin B deoxycholate to voriconazole

E. Flynn, B.A. Oppenheim, P. Ribaud, G. Barbabietola, V. Démarez, A. Marciniak, C. Roberts, K. Barker

Author address: 

Auburn, US; Manchester, UK; Paris, FR; Foligno, IT; Creteil, FR; Sandwich, UK; New York, US

Abstract: 

Objective: To describe and compare the nursing labor time required for preparation and administration of liposomal amphotericin B (L-AmB), amphotericin B deoxycholate (AmBd), and voriconazole (VOR). Methods: Activities associated with nurse preparation and administration of the three study drugs were timed by trained observers at five hospitals (one in Italy, three in France, and one in the United Kingdom). Target tasks were classified as those likely to be affected by the difference between the drugs and excluded those tasks likely to differ because of site-specific factors (e.g., travel time to a patient room in different hospitals). Target tasks included: obtain supplies and medications; prepare medications; educate patient; administer medications; monitor for adverse events; and prepare follow-up medications. The mean times for administration of a single day of study drug were summarised and compared, accounting for a single daily dose of L-AmB and AmBd and 2 daily doses of VOR IV or oral. Results: Sixty-nine patients were observed receiving 256 doses of study medications at the five hospitals. Time of administration in minutes per day was 20, 16, 14, and 3 for L-AmB, AmBd, VOR IV, and VOR oral, respectively. Administration time was significantly lower for VOR IV compared with L-AmB (P
2006

abstract No: 

P1500

Full conference title: 

16th European Congress of Clinical Microbiology and Infectious Diseases
    • ECCMID 16th (2006)