Pushing the agenda for intravenous push administration in outpatient parenteral antimicrobial therapy

Ther Adv Infect Dis. 2023 Aug 15:10:20499361231193920. doi: 10.1177/20499361231193920. eCollection 2023 Jan-Dec.

Abstract

Intravenous push (IVP) antimicrobial administration refers to rapid bolus infusion of medication. This drug delivery method offers improved patient convenience, superior patient and nursing satisfaction, and cost savings when used in outpatient parenteral antimicrobial therapy (OPAT). Antimicrobial agents must demonstrate optimal physiochemical and pharmacologic characteristics, as well as sufficient syringe stability, to be administered in this manner. Additionally, impacts on medication tolerability, patient safety, and effectiveness must be considered. This narrative review summarizes the available data and practical implications of IVP administration of antimicrobials in the OPAT setting.

Keywords: OPAT; administration; antibiotics; antimicrobials; infusion; intravenous push.

Publication types

  • Review