{"id":7204,"date":"2025-06-28T17:23:35","date_gmt":"2025-06-28T17:23:35","guid":{"rendered":"https:\/\/ijssass.com\/journal\/nurse-led-study-on-treatment-delay-and-streamlining-antibiotic-therapy-among-haematology-patients-with-febrile-neutropenia-post-chemotherapy\/"},"modified":"2025-06-29T05:08:33","modified_gmt":"2025-06-29T05:08:33","slug":"nurse-led-study-on-treatment-delay-and-streamlining-antibiotic-therapy-among-haematology-patients-with-febrile-neutropenia-post-chemotherapy","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/nurse-led-study-on-treatment-delay-and-streamlining-antibiotic-therapy-among-haematology-patients-with-febrile-neutropenia-post-chemotherapy\/","title":{"rendered":"Nurse-led study on treatment delay and streamlining antibiotic therapy among haematology patients with febrile neutropenia post chemotherapy"},"content":{"rendered":"<p>This article was originally published as: <strong>Nurse-led study on treatment delay and streamlining antibiotic therapy among haematology patients with febrile neutropenia post chemotherapy<\/strong><\/p>\n<p>Original Article Link: <a href='https:\/\/www.ajan.com.au\/index.php\/AJAN\/article\/view\/804' target='_blank' rel='noopener'>Read Original Article<\/a><\/p>\n<p>Download PDF: <a href='https:\/\/www.ajan.com.au\/index.php\/AJAN\/article\/download\/804\/178' target='_blank' rel='noopener'>Click Here to Download PDF<\/a><\/p>\n<h2>Abstract<\/h2>\n<p>Objective: The aim of the study is to identify gaps that exist among health professionals that may impact practices in caring effectively for patients with febrile neutropenia (FN). Background: Haematology patients with FN following chemotherapy frequently experience delays in antibiotic administration that may be linked to poorer clinical outcomes. To aid timely review and treatment, FN care pathways have been developed. However, observations of clinical practice and patient anecdotal reports have highlighted that the care pathways may not be adhered to. The impact on patient care outcomes due to treatment delays and the rate of protocol adherence to the FN management pathway is unknown due to insufficient evidence. Methods: Using the Clinical Records Integrated System (CRIS), data were collected by auditing patients\u2019 electronic health records (EHR) from November 2017 through to November 2018. Information retrieved were screened using the inclusion and exclusion criteria. Inclusion criteria: Haematology patients with FN (temperature \u2265 38\u00b0 and neutrophil count &lt; 1.0 x109\/L) post chemotherapy, and 18 years or older. Exclusion criteria: Medical oncology patients and patients who were under 17 years old. Results: The mean time for antibiotic administration from first temperature spike was 90\u00b115 minutes for inpatients (n=48). The mean time for antibiotic administration from medical officer review was significantly lower at 48\u00b15 minutes for outpatients (n=31). Inpatients who were given antibiotics within 60 minutes or less of their first temperature spike, their mean length of total stay in the ward was 17\u00b11 whilst inpatients who were given antibiotics 60 minutes after their first temperature spike, the mean length of their hospital stay was slightly greater at 21\u00b13 days. Outpatients who were given antibiotics within 60 minutes or less of their first temperature spike, their mean length of stay was 12\u00b12 days. For outpatients given antibiotics 60 minutes after their first temperature spike, their mean length of hospital stay was slightly shorter at 9\u00b13 days. Conclusion: The study identified antibiotic delays among inpatient population, and with correlation to increased length of hospital stay and mortality. Another key factor identified in the study was delayed medical officer review although reasons for delays are outside of the scope this study to report.<br \/>\nWhat is already known:<\/p>\n<p>Febrile neutropenia is a serious and life-threatening illness.<br \/>\nDelays in antibiotic administration exists among healthcare facilities.<br \/>\nAdherence to FN treatment guidelines among healthcare settings are challenging.<\/p>\n<p>What this review adds:<\/p>\n<p>Standardised orders to allow timely administration of antibiotic therapy that may reduce morbidity and mortality.<br \/>\nIncreased education on the seriousness and outcome from delayed antibiotics to patients, families, and healthcare staff.<br \/>\nFurther studies are required to standardise the clinical pathway and make antibiotics accessible for prompt delivery.<\/p>\n<h2>Authors<\/h2>\n<ul>\n<li>Delilah Shelley<\/li>\n<li>Adwin Thomas<\/li>\n<li>Karen Strickland<\/li>\n<\/ul>\n<h2>Keywords<\/h2>\n<p>chemotherapy, cancer, febrile neutropenia, haematology malignancies, myelosuppression, neutropenia.<\/p>\n<h2>References<\/h2>\n<p>References not available for this article.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This article was originally published as: Nurse-led study on treatment delay and streamlining antibiotic therapy among haematology patients with febrile&#8230;<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[4030],"class_list":["post-7204","post","type-post","status-publish","format-standard","hentry","category-articles","tag-chemotherapy-cancer-febrile-neutropenia-haematology-malignancies-myelosuppression-neutropenia","wpcat-124-id"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - 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