Is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based study
Abstract Background Specialized outpatient palliative care (SAPV) is a component of palliative care in Germany, which assists approximately 10% of palliative patients. The majority of these patients have a malignant disease and are at increased risk of complications or severe infection. Antibiotic s...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-12-01
|
| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-024-01609-x |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846136719821242368 |
|---|---|
| author | Ulrich Kaiser Florian Kaiser Jörg Schmidt Ursula Vehling-Kaiser Florian Hitzenbichler |
| author_facet | Ulrich Kaiser Florian Kaiser Jörg Schmidt Ursula Vehling-Kaiser Florian Hitzenbichler |
| author_sort | Ulrich Kaiser |
| collection | DOAJ |
| description | Abstract Background Specialized outpatient palliative care (SAPV) is a component of palliative care in Germany, which assists approximately 10% of palliative patients. The majority of these patients have a malignant disease and are at increased risk of complications or severe infection. Antibiotic stewardship (ABS) measures are implemented to optimize antibiotic administration; however, there is little data available in this area, particularly for SAPV. Therefore, we examined the extent to which ABS measures can be meaningfully used or implemented in SAPV. Methods After establishing a corresponding interview guide, 15 experts from specialized areas were interviewed on this subject by the Institute for Market Research in Healthcare Munich (IMIG) through audio-registered individual interviews. The interviews were analyzed using the qualitative content analysis method according to Mayring. Results All 15 experts participated. The primary benefits cited were greater safety in the prescription and decision-making process for antibiotics in the areas of SAPV and improved quality of life. The implementation of continuous ABS measures for SAPV was considered difficult in some cases and linked to certain prerequisites, such as supportive advice from existing systems. The possibility of further training for SAPV members in the area of ABS was considered particularly advantageous. Conclusions The implementation of ABS measures in SAPV is feasible in principle; however, it is difficult to implement under the current conditions. Close cooperation with an existing external ABS expert/team will be helpful. This will provide more security for a small, but relevant proportion of SAPV patients, and for the SAPV team treating them. |
| format | Article |
| id | doaj-art-cbeb03ad4fee4525beee3136d194fe72 |
| institution | Kabale University |
| issn | 1472-684X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj-art-cbeb03ad4fee4525beee3136d194fe722024-12-08T12:49:09ZengBMCBMC Palliative Care1472-684X2024-12-0123111010.1186/s12904-024-01609-xIs the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based studyUlrich Kaiser0Florian Kaiser1Jörg Schmidt2Ursula Vehling-Kaiser3Florian Hitzenbichler4Clinic and Polyclinic for Internal Medicine III, University Hospital RegensburgMVZ Dr. Vehling-Kaiser GmbHInstitute for Market Research in HealthcareMVZ Dr. Vehling-Kaiser GmbHDepartment of Infection Prevention and Infectious Diseases, University Hospital RegensburgAbstract Background Specialized outpatient palliative care (SAPV) is a component of palliative care in Germany, which assists approximately 10% of palliative patients. The majority of these patients have a malignant disease and are at increased risk of complications or severe infection. Antibiotic stewardship (ABS) measures are implemented to optimize antibiotic administration; however, there is little data available in this area, particularly for SAPV. Therefore, we examined the extent to which ABS measures can be meaningfully used or implemented in SAPV. Methods After establishing a corresponding interview guide, 15 experts from specialized areas were interviewed on this subject by the Institute for Market Research in Healthcare Munich (IMIG) through audio-registered individual interviews. The interviews were analyzed using the qualitative content analysis method according to Mayring. Results All 15 experts participated. The primary benefits cited were greater safety in the prescription and decision-making process for antibiotics in the areas of SAPV and improved quality of life. The implementation of continuous ABS measures for SAPV was considered difficult in some cases and linked to certain prerequisites, such as supportive advice from existing systems. The possibility of further training for SAPV members in the area of ABS was considered particularly advantageous. Conclusions The implementation of ABS measures in SAPV is feasible in principle; however, it is difficult to implement under the current conditions. Close cooperation with an existing external ABS expert/team will be helpful. This will provide more security for a small, but relevant proportion of SAPV patients, and for the SAPV team treating them.https://doi.org/10.1186/s12904-024-01609-xSAPVABSInfectionPalliative patientAntibiotic therapy |
| spellingShingle | Ulrich Kaiser Florian Kaiser Jörg Schmidt Ursula Vehling-Kaiser Florian Hitzenbichler Is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based study BMC Palliative Care SAPV ABS Infection Palliative patient Antibiotic therapy |
| title | Is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based study |
| title_full | Is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based study |
| title_fullStr | Is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based study |
| title_full_unstemmed | Is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based study |
| title_short | Is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible? An interview-based study |
| title_sort | is the use of antibiotic stewardship measures in the context of specialized outpatient palliative care sensible and feasible an interview based study |
| topic | SAPV ABS Infection Palliative patient Antibiotic therapy |
| url | https://doi.org/10.1186/s12904-024-01609-x |
| work_keys_str_mv | AT ulrichkaiser istheuseofantibioticstewardshipmeasuresinthecontextofspecializedoutpatientpalliativecaresensibleandfeasibleaninterviewbasedstudy AT floriankaiser istheuseofantibioticstewardshipmeasuresinthecontextofspecializedoutpatientpalliativecaresensibleandfeasibleaninterviewbasedstudy AT jorgschmidt istheuseofantibioticstewardshipmeasuresinthecontextofspecializedoutpatientpalliativecaresensibleandfeasibleaninterviewbasedstudy AT ursulavehlingkaiser istheuseofantibioticstewardshipmeasuresinthecontextofspecializedoutpatientpalliativecaresensibleandfeasibleaninterviewbasedstudy AT florianhitzenbichler istheuseofantibioticstewardshipmeasuresinthecontextofspecializedoutpatientpalliativecaresensibleandfeasibleaninterviewbasedstudy |