{"id":12076,"date":"2022-09-23T12:00:20","date_gmt":"2022-09-23T12:00:20","guid":{"rendered":"https:\/\/msdconecta.co.cr\/en\/?post_type=therapeutic-area&#038;p=12076"},"modified":"2023-04-04T15:28:19","modified_gmt":"2023-04-04T15:28:19","slug":"intravenous-antibiotic-treatment-wp-0258","status":"publish","type":"therapeutic-area","link":"https:\/\/msdconecta.co.cr\/en\/therapeutic-areas\/antibiotics\/intravenous-antibiotic-treatment-wp-0258\/","title":{"rendered":"Intravenous antibiotic treatment outside the hospital"},"content":{"rendered":"<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--380037d41b8d726b796153bb12284536 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--067e3c9cf4796f73d10288fe7e62fc33 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<h1 class=\"has-white-color has-teal-500-background-color has-text-color  wp-block-heading mhh-mcn-v1-heading--center mhh-mcn-v1-heading mhh-mcn-v1-heading--eb61e386a67f2310e10581ff43acad61\"><strong>Intravenous antibiotic<\/strong> treatment outside the hospital<\/h1>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--98d10724c65954125c3f72b8c4ff3128 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1d22b84ada209fc40b3a9d71c4821b97 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--576cb0548e7bd1dd4d99b34053284086\">\n                    <img loading=\"lazy\" decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17680\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/separador.png?quality=80&#038;lossy=1\"\n        width=\"430\"\n        height=\"10\"\n                alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h2 class=\"wp-block-heading  mhh-mcn-v1-heading mhh-mcn-v1-heading--df250c8193008acd75b2f92bb05a196c\">Important facts on the safety of the I.V. antibiotic treatment that you should know:<\/h2>\n\n\n\n<p class=\"has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--6420156c6e4bb8406e79d009be20689e wp-block-paragraph\">There are some risks related to the use of VADs (Vascular Access Devices) that you should be aware of:<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--7a5b74ae5083302b53979421dff102d6 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--9086d6b26043d6b46e81809b228bf760\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17683\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/Untitled-2.png?quality=80&#038;lossy=1\"\n        width=\"451\"\n        height=\"319\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--635a7461efcc7b69b5a486cf23a4f24c mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--86487029aed00d4743baf02515918c45 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--a2b0230468525fbe5c9068d69b1bca33 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li><strong>Local pain, edema, tenderness, striated erythema, inflammation at the injection-site <sup>10<\/sup>.<\/strong> May be signs of phlebitis or thrombophlebitis<sup> 5<\/sup> due to chemical or mechanical irritation <sup>10<\/sup>.<\/li><\/ul>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--0bee7914469e11a90946ab702a3f7ef5 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li><strong>Pain, swelling, venous congestion and\/or limitation of movement of the limb, shoulder or neck <sup>10<\/sup>.<\/strong> These may be signs of venous thrombosis associated with the catheter <sup>5,10<\/sup>. Depending on the medical condition, additional medical interventions may be required to treat thrombosis <sup>5<\/sup>.<\/li><\/ul>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--3563c99f028e88c9f5b021b3aa3407e9 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--c598bef6167304f674ba169b6e0fe207 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li><strong>Induration, redness, pain and\/or pus drainage<sup> 10<\/sup><\/strong>. Local induration, erythema, tenderness and\/or purulent discharge plus fever may be signs of more severe catheter-related infection <sup>5, 10<\/sup>.<\/li><\/ul>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--54d2954e25561c891daf9a089afdb65e mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li><strong>Persistent pain, burning, edema, coldness or pallor of the local tissue, leakage at the insertion site and paresthesia <\/strong><sup>10<\/sup>. These may be infiltration signs or extravasation of the solution. Instead of entering the veins it is passing into the subcutaneous tissue <sup>10<\/sup>.<\/li><\/ul>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--97f5e0854fdb0657d4d7899006c7d6d9 mhh-mcn-v1-columns mhh-mcn-columns--gutter-s\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--a0a1a3dd63935f58a76f1acd164bff3f mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--ebd627ede30b54186731fff5af17462d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17696\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/separador2.png?quality=80&#038;lossy=1\"\n        width=\"830\"\n        height=\"10\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h3 class=\"has-gray-100-color has-text-color wp-block-heading mhh-mcn-v1-heading--left mhh-mcn-v1-heading mhh-mcn-v1-heading--34028e698a976e4c141f83d0aa8cf048\">How does home intravenous drug administration work?<sup>1<\/sup><\/h3>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--c19ef04f5c68b1a5d506a2c28df99d0f mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--e64469e79e4c8ff2e8ff4696563d8c68 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--0e3962efd7b6b95b249d050fd76af486 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>After the venous access device is placed, a sterile drape will be applied to protect the injection-site <sup>1<\/sup>.<\/li><\/ul>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--8ea01510c62e6ac94063e65f5e0e3db0 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>As part of venous access care, periodic draping changes may be required. Avoid shocks and heavy lifting to the limb<sup> 1<\/sup>.<\/li><\/ul>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--79eb221cfb05cd76eccdcd2f192f5c5c mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>After an initial training visit, the patient, family members or caregivers will be ready to administer the antibiotics at home <sup>1<\/sup>.<\/li><\/ul>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--3ffea1ad0e6690b9dd8cd79afa1d76f3 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>Between one and three doses may be required over a period of days or weeks, depending on the physician&#8217;s prescription <sup>1<\/sup>.<\/li><\/ul>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--fb3202f9ec1f61590f15e82125a6cb13 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--e6834fd5bb6ebc45ca70ced085fa36f2 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>Always notify your doctor or nurse on new or alarming symptoms, you may or if you detect <sup>1<\/sup>.<\/li><\/ul>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--301dcbfeec38d3da9f5701166936d139 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>Once the treatment is completed, the venous access can be removed at home or in the hospital<sup> 1<\/sup>.<\/li><\/ul>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--fc2b6c1fd3c7bfdba3e94cd09cfbfb47\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17707\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/Untitled-3.png?quality=80&#038;lossy=1\"\n        width=\"321\"\n        height=\"266\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--f6fe9f32c62be26a8ef44e89d63496cb mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--ebd627ede30b54186731fff5af17462d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17696\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/separador2.png?quality=80&#038;lossy=1\"\n        width=\"830\"\n        height=\"10\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h3 class=\"has-dark-blue-color has-text-color wp-block-heading mhh-mcn-v1-heading--left mhh-mcn-v1-heading mhh-mcn-v1-heading--b0bc4240853e04b1f6b38ee867365e6d\">Important safety aspects of the I.V. antibiotic treatment that you should know about:<\/h3>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--2b6cc34ed115a476bbf9a46270ae3db8 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--5d38e39c2bc6e4818ddf2ef32d97074e mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-3\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--ecb001b3731343e35b0042934fa6173b\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17723\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/Untitled-4.png?quality=80&#038;lossy=1\"\n        width=\"143\"\n        height=\"253\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--e0aa8a0984949945fb517ad22708bab2 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<h4 class=\"has-teal-500-color has-text-color wp-block-heading  mhh-mcn-v1-heading mhh-mcn-v1-heading--cc0d71c5917d46685fd98de6f6e49b64\"><strong>What is intravenous (IV) infusion therapy?<\/strong><\/h4>\n\n\n\n<p class=\"has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--85f09f712ae60b97b405472942074648 wp-block-paragraph\">It is the administration of a drug through a catheter that is used when the disease or its severity does not allow it to be effectively treated with oral medications<sup>3<\/sup>.<\/p>\n\n\n\n<p class=\"has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--374c864e21548ab2018f92cc24233cda wp-block-paragraph\">Many acute and chronic medical conditions can be treated with home infusion therapies: infections, dehydration, heart failure, multiple sclerosis, and rheumatoid arthritis, to name a few<sup>3<\/sup>.<\/p>\n\n\n\n<h4 class=\"has-teal-500-color has-text-color wp-block-heading  mhh-mcn-v1-heading mhh-mcn-v1-heading--4513955612ed469e806575b41d7f738d\"><strong>What types of infusion devices are there?<\/strong><\/h4>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--431529d60159e31cc5ea41d353169643 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2f90094595632ba3f906b18a88443dc7 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-1 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--892ee0e80aa9a0395e133c7aa22d30a9 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--f90b689631d7303b4f8463a22df439a7\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17737\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/1.png?quality=80&#038;lossy=1\"\n        width=\"119\"\n        height=\"124\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--f939ba900d3d46de03e022b4f4a69175 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--33454962c506ad2784a339263374131c wp-block-paragraph\"><strong>Elastomeric pumps:<\/strong> Elastomeric pumps are lightweight devices composed of a plastic container and a balloon inside where its content is inserted<sup>8<\/sup>. Estas bombas presionan de forma continua y constante el globo e impulsan el medicamento a trav\u00e9s del tubo de venoclisis hasta un cat\u00e9ter<sup>8<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--3b089cf288457786d45b043d154cd6aa mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2f90094595632ba3f906b18a88443dc7 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-1 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--4d3f1c6401523694fa5ad30cc3804792 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--d6e3eaeb107e01ef5dd96fbc58848714\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17748\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/2.png?quality=80&#038;lossy=1\"\n        width=\"119\"\n        height=\"124\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--fffe7eba29f5dbc21d9c957ea0699078 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--d0a5036853f7418d38fabf3212ea73b0 wp-block-paragraph\"><strong>Electronic infusion pumps:<\/strong> These are devices used for the injection of fluids, drugs or nutrients into the patient&#8217;s circulatory system<sup>4<\/sup>. They can be electronically programmed to administer small, intermittent or continuous doses throughout the day<sup>4<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--d9e8382186fcf46b45f426ff9dcf92f0 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2f90094595632ba3f906b18a88443dc7 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-1 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--bcd6c3c75bdeb2f53619664d8bf58f2f mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--f706a1ad7dff46413ef018276cb6a059\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17750\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/3.png?quality=80&#038;lossy=1\"\n        width=\"119\"\n        height=\"124\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--739fd0cf021bdab74173c84ef33cd7b9 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--0ff535a411cb1379882d654842da603c wp-block-paragraph\"><strong>Syringes or syringe pumps: <\/strong>Tubes with an inner plunger and a small opening through which the content is expelled when the plunger is pressed<sup>9<\/sup>. Allows the introduction of small amounts of medication or fluids into the venous access system by injection<sup>9<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--5e09106cf6a469e0b6ddcab067757e4a mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--ebd627ede30b54186731fff5af17462d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17696\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/separador2.png?quality=80&#038;lossy=1\"\n        width=\"830\"\n        height=\"10\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h3 class=\"has-gray-100-color has-text-color wp-block-heading mhh-mcn-v1-heading--left mhh-mcn-v1-heading mhh-mcn-v1-heading--392d555022f161bfea9fa4c749f9e2e1\">The antibiotic administration to the outpatient may be done at home by a nurse, by the patient (or a family member) or in a specialized center.<\/h3>\n\n\n\n<p class=\"has-white-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3983add9188b62715a010abcc7b548b0 wp-block-paragraph\">The required devices work together to get the right dose of the antibiotics into the bloodstream at the right speed<sup>4<\/sup>.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--535760b2a0c56e07209a4dd5921453ef mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2d758049a559b5761b648ba6cf6eea36 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-2\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--c4996c831e658612e4a66c468efbb08d mhh-mcn-column mhh-mcn-column--3 mhh-mcn-column--m-4 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--a674a007d3600f852d0fe3c86e95e89d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17835\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/Screenshot_2.png?quality=80&#038;lossy=1\"\n        width=\"117\"\n        height=\"104\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--f5213fa0376598fccd688be52ed7738b mhh-mcn-column mhh-mcn-column--9 mhh-mcn-column--m-9 mhh-mcn-column--l-4\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--8754f013547c4a2c2a92869661024b23 wp-block-paragraph\"><strong>At the patient&#8217;s home:<\/strong><br>After basic training, a family member or caregiver can administer the antibiotic at home<sup>1<\/sup>.<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--49fa26ce348f41b4f857d677d51b63ad mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--4553d85333869cb6967a14b7e1681010 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2521af282826aec94ad819b45f9c6565 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--ae61e1d0d4f78d234691a6f21aca8d41 mhh-mcn-v1-accordion--default\" data-configuration=\"{&quot;variation&quot;:&quot;default&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"        >\n    \n\n\n\n<\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--6d5cf1fab18bb7f48eaadeb7bda8f9ee mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--dc913f5a1f0b00f93c7717767c57d60d mhh-mcn-column mhh-mcn-column--3 mhh-mcn-column--m-6 mhh-mcn-column--l-3\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--54bd91d119b42f707e0ddae5383fbb0d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17762\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/1-1.png?quality=80&#038;lossy=1\"\n        width=\"112\"\n        height=\"111\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--aa4d47844f617a07fff84790307eb2a3 mhh-mcn-column mhh-mcn-column--9 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--8754f013547c4a2c2a92869661024b23 wp-block-paragraph\"><strong>At the patient&#8217;s home:<\/strong><br>After basic training, a family member or caregiver can administer the antibiotic at home<sup>1<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--08fb65bf29a721d967d64e757be52c78 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--ae61e1d0d4f78d234691a6f21aca8d41 mhh-mcn-v1-accordion--default\" data-configuration=\"{&quot;variation&quot;:&quot;default&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"        >\n    \n\n\n\n<\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--13aa8d9e4165058a9f9769adaa3f77ec mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--499d05599299cbbe58f17b48d87e1148 mhh-mcn-column mhh-mcn-column--3 mhh-mcn-column--m-6 mhh-mcn-column--l-3\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--62ff8512ac1b4a55532a9f35193e6c3d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17766\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/2-1.png?quality=80&#038;lossy=1\"\n        width=\"112\"\n        height=\"111\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0f384492a92b65cb5ef3da0d74a6408a mhh-mcn-column mhh-mcn-column--9 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--533789978ba4ddf210145ecf4a5d9686 wp-block-paragraph\"><strong>In an infusion center or specialized nursing facility:<\/strong><br>The patient comes to the site each day for antibiotic and catheter care<sup>1<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2418c3cae24272f3ef3ce0aa98978168 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--c6d746fa56b023bc382ee0cf0d52a642\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17770\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/separador3.png?quality=80&#038;lossy=1\"\n        width=\"1000\"\n        height=\"10\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h3 class=\"has-gray-100-color has-text-color wp-block-heading mhh-mcn-v1-heading--left mhh-mcn-v1-heading mhh-mcn-v1-heading--d2e42acf074e7ad89a3cda8c6acbac8f\">How does home intravenous drug administration work? <sup>1<\/sup><\/h3>\n\n\n\n<p class=\"has-white-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--a71c02d42b9431b3856e0ed6c5c293bb wp-block-paragraph\">When intravenous antibiotic treatment is required, but there is no other reason to stay in the hospital, the person could receive this therapy as it\u2019s out-of-hospital setting<sup>1<\/sup>.<\/p>\n\n\n\n<p class=\"has-white-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--919c9cc7a45ef45f3325b823a2358c19 wp-block-paragraph\">The following settings may be conducive to receiving therapy outside the hospital:<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--2f67206f079a3c044e5b3dea3e864d67 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0530250c1255965a4058a928a0dbc3ee mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--ae61e1d0d4f78d234691a6f21aca8d41 mhh-mcn-v1-accordion--default\" data-configuration=\"{&quot;variation&quot;:&quot;default&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"        >\n    \n\n\n\n<\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-top mhh-mcn-v1-columns--bf9c6cf29600aeffc4269c0c4977e07f mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--dd5d1736bc554398b28234e6e54fc358 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-3\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--dddb3e3e38c9bc87c9cb6f95a6e93868\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17777\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/1-2.png?quality=80&#038;lossy=1\"\n        width=\"85\"\n        height=\"88\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--175067963d5c9b110066b3c2a6a0d707 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3ff94c2f9708ce6253d996238c02e468 wp-block-paragraph\"><strong>Vascular access device (VAD):<\/strong><\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--6b7ec59a1271a6ba55b67469685b41cc wp-block-paragraph\">The VAD is a catheter inserted into the veins or ports that can be implanted under the skin, to allow fluids and medication to go into the veins<sup>5<\/sup>.<br>Depending on the type of access (VAD), it can remain implanted from a few days to weeks or months<sup>5<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--a0917fa8e45cbd353de31b6d3cab9643 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--ae61e1d0d4f78d234691a6f21aca8d41 mhh-mcn-v1-accordion--default\" data-configuration=\"{&quot;variation&quot;:&quot;default&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"        >\n    \n\n\n\n<\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-top mhh-mcn-v1-columns--daf24ed62a3d91bf5b4515522784026f mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9c2955b2171442c9efde5a0e3614a63d mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-3\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--47d27bf1d5b20aae4e6de7942f1bfce3\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17778\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/2-2.png?quality=80&#038;lossy=1\"\n        width=\"85\"\n        height=\"88\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--ffbe010e31ebb54b3aa697022dff6728 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2a1f83dd0500f738305f4ae99b82b52d wp-block-paragraph\"><strong>Infusion devices:<\/strong><\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f14876b18e52d1d1d36935796c329e41 wp-block-paragraph\">The infusion pump is a medical device that delivers fluids or medications to the body in controlled amounts, through the VAD <sup>4<\/sup>. These devices have an interface that allows programming the amount and duration of the infusion to be administered accurately and automatically <sup>4<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--973bf305f63631f12862bf543cc012f3 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--ebd627ede30b54186731fff5af17462d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17696\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/separador2.png?quality=80&#038;lossy=1\"\n        width=\"830\"\n        height=\"10\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h3 class=\"wp-block-heading  mhh-mcn-v1-heading mhh-mcn-v1-heading--74cdc51df44a99e664364d6857a9596a\">What are the benefits of the IV antibiotic treatment in the outpatient?<sup> 2,3<\/sup><\/h3>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--4e2b989e7504832236ea2982463cd479 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--30cac0792e2dd9697b609b8aa701d3a8 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0c4d372d15681b89877ae99d08311e1a mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--061f6614a4d3d084e5e6275825778c93\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17792\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/1-3.png?quality=80&#038;lossy=1\"\n        width=\"107\"\n        height=\"112\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--c88c2d4229c9da8cab2dd340638e198c mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--a2d926b2c8fe77a49dc971146910f1da wp-block-paragraph\">Helps reduce health care costs (general expenses and length of hospitalization)<sup>2<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--ba63a4f8e98311c3a1ae7df97fc36e53 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--30cac0792e2dd9697b609b8aa701d3a8 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--a2ff8c4fb7e3fac5ff2a02962fd4fefc mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--54b4ccb1e53667fa07f277b5d55dbad8\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17797\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/2-3.png?quality=80&#038;lossy=1\"\n        width=\"107\"\n        height=\"112\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--195c6447efaeea84f002ddc3c856802a mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--ad3b49a1cfa85273485d758f26dbf6d2 wp-block-paragraph\">It\u2019s proven to be a safe way to receive treatment and causes less disruption to daily life<sup>3<\/sup>.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--5d198e133ff4de16b4fd15b5c33eb2df mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--ebd627ede30b54186731fff5af17462d\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17696\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/separador2.png?quality=80&#038;lossy=1\"\n        width=\"830\"\n        height=\"10\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h3 class=\"has-dark-blue-color has-text-color wp-block-heading mhh-mcn-v1-heading--left mhh-mcn-v1-heading mhh-mcn-v1-heading--169a6a297be286f5b0eea3115b1bf589\">ABC of venous access devices<sup>6<\/sup><\/h3>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--d1d9740ec29299c6dcc3aad0ce4d57f5 wp-block-paragraph\">The choice and placement of the catheter would be made by a trained health professional<sup>6<\/sup>.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--437e70b669308c501b49d81c3e8d0a2c mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2f90094595632ba3f906b18a88443dc7 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-1 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--475343b94fc985554919b7747b4d886b mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-2\">\n    \n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"119\" height=\"118\" src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/1-4.png\" alt=\"\" class=\"wp-image-17812\"\/><\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--b954c21eb594699fbe082adc289d5499 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--fd999dce2ed283da84c5043aa9b86915 wp-block-paragraph\"><strong>Peripheral venous access devices:<\/strong><\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--4438d714c7bbb6074ff6ab80506dc2da mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>This is placed in the arm or back of the hand&#8217;s veins<sup>6<\/sup>.<\/li><li>This is used for short injections and short-term treatments (3-5 days approximately)<sup>6<\/sup>.<\/li><\/ul>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--e3734c4534ebfa0b3a7e3863d251451c mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2f90094595632ba3f906b18a88443dc7 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-1 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--e1f34330265ba45e086ce4b5b4df0fde mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--0a78fb1a8682ac762dec4b2b7337018b\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17813\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/2-4.png?quality=80&#038;lossy=1\"\n        width=\"119\"\n        height=\"127\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--937b107ac51acfa23ea78498396eba32 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--729d4e44cd328318ef4ca7cd9c56018c wp-block-paragraph\"><strong>Central venous catheter<sup>6,7<\/sup>:<\/strong><\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--3e5c0f55e0ebd3c86dc1bdfc518fe8bf mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>It is usually inserted into a large vein in the neck or upper chest (jugular or subclavian)<sup>6,7<\/sup>.<\/li><li>These are long, flexible devices that reach close to the heart veins<sup>7<\/sup>.<\/li><li>A central venous line can last weeks or months and is very useful for patients who receive medication several times a day<sup>7<\/sup>.<\/li><\/ul>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--2bd7de388d6b3d89ebb2b7a8f1f26f5b mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2f90094595632ba3f906b18a88443dc7 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-1 mhh-mcn-column--l-1\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--c40e91f97e1b360863a12a609f1d99e8 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--40c03d448525bc114d233546371f35fc\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17815\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/3-1.png?quality=80&#038;lossy=1\"\n        width=\"119\"\n        height=\"127\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1d7e3707718808acd31455ca6f3d73c1 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--62d5b99a3b2c8af54c9ea18f4bdbb43c wp-block-paragraph\"><strong>Other access devices<sup>6<\/sup>:<\/strong><br>There are other types of devices that can be used for administration of drugs or fluids by other routes, for example:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--3fb5f0c099b771ffc38a360626da46b1 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>Arterial catheters<sup>6<\/sup>.<\/li><\/ul>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--6a6d57b8b61013b15e8aef28c63b4d73 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>Subcutaneous accesses<sup>6<\/sup>.<\/li><\/ul>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1471eb2c3107c5aacd41a3c5209b7fd2 wp-block-paragraph\"><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--3267786b2ba5e2ecb8c022ab053a202c mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--e7f80964a898d8bf8ab6a205cfefd51c mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c40a97a2483d59d5a88aa3f10e753c5a wp-block-paragraph\" style=\"color:#0a2240\">The prescribing information for this drug, which includes indications, contraindications, precautions, warnings, adverse reactions, etc., is available to the medical staff in the following QR code<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--8ffdefc6abe98a3c2595e5b4ce4d86ae mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--51bd5ffac58a8bdd38102c1b13b67b64\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17824\"\n        src=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/uploads\/sites\/78\/2023\/04\/qr.png?quality=80&#038;lossy=1\"\n        width=\"143\"\n        height=\"143\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--886c6018cf8413bddd07f67463698d05 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--4ae1056f25fbf8850e04b9364bcaede8 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<hr class=\"wp-block-separator has-text-color has-teal-500-color has-alpha-channel-opacity has-teal-500-background-color has-background\"\/>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--81cc34a45a55ba5ee6f23e8c8cb0eff1 wp-block-paragraph\"><strong>Before prescribing INVANZ\u00ae please consult the complete Product Circular<\/strong>&nbsp;<strong>in force in your country.<\/strong> <strong>MSD does not recommend the use of any product, in a way other than that described in the current Product Circular.<\/strong><\/p>\n\n\n<div class=\"mhh-mcn-v1-content-items mhh-mcn-v1-content-items--301a7b5839b089f66ede2ba594d3ffbc wp-block-mconnect-theme-curated-content mhh-mcn-layout--columns mhh-mcn-columns mhh-mcn-v1-columns--9e291dc172a0af7045ab8aca6b71619c mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        <div\n    class=\"mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12 mhh-mcn-v1-content-item mhh-mcn-v1-content-item--484b12895efde1f185b17122e0a668e4 mhh-mcn-v1-content-item--card-style mhh-mcn-v1-content-item--no-media\">\n    <article class=\"mhh-mcn-v1-content-item-content\">\n    <section class=\"mhh-mcn-v1-content-item-content-body\">\n                <header class=\"mhh-mcn-v1-content-item-header\">\n    \n    <span class=\"mhh-mcn-v1-content-item-icon-type\">\n    <span class=\"mhh-mcn-v1-content-item-icon-type__icon\">\n    \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-arrow-right mh-icon--arrow-right\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/msdconecta.co.cr\/en\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/arrow-right.svg#arrow-right\"><\/use>\n<\/svg>\n    <\/span>\n    <\/span>\n    <h2 class=\"mhh-mcn-v1-content-item-title mhh-mcn-v1-content-item-title--c06ec76831703497d2b89abb588910eb\">\n    \n    <a class=\"mhh-mcn-v1-content-item-title__link\" href=\"https:\/\/msdconecta.co.cr\/en\/therapeutic-areas\/antibiotics\/iss-invanz-caribe\/\" target=\"_blank\" rel=\"noopener noreferrer\">\n        Selected Safety Information about INVANZ\u00ae     <\/a>\n    <\/h2>\n\n    <\/header>\n\n                \n<div class=\"mhh-mcn-v1-content-item-meta mhh-mcn-badge-container\">\n    \n    \n    <\/div>\n    <\/section>\n    <div class=\"mhh-mcn-v1-content-item-footer\">\n    \n    <div class=\"mhh-mcn-v1-content-item-call-to-action mhh-mcn-v1-content-item-call-to-action--c06ec76831703497d2b89abb588910eb\">\n    Click here<\/div>\n\n    <\/div>\n<\/article>\n<\/div>\n    <\/div>\n\n    <\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-medium mhh-mcn-v1-columns--642943fd9f20d9bc7e4aebdbefa5ed98 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--33f444901d169042420bc4d15377c8f6 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--5e144bf70b507858f1a383c63399abd9 wp-block-paragraph\"><strong>Referencias:<\/strong><\/p>\n\n\n\n<ol class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--179022508bf1e09cce38652ec4d009ac mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>Grennan D, Gottsch M. Home Intravenous Antibiotic Therapy. JAMA 2019; 322(1):90.<\/li><li>Candel FJ, Juli\u00e1n-Jim\u00e9nez A, Gonz\u00e1lez-Del Castillo J. Current status in outpatient parenteral antimicrobial therapy: a practical view. Rev Esp Quimioter. 2016 Apr;29(2):55-68.<\/li><li>National Home Infusion Association. About home and specialty infusion. Disponible en: https:\/\/www.nhia.org\/about-infusion-therapy\/ [Consultado el 15 de junio de 2021].<\/li><li>U.S Food and Drug Administration (FDA). Medical Devices: Infusion Pumps. Disponible en: https:\/\/www.fda.gov\/medical-devices\/general-hospital-devices-and-supplies\/infusion-pumps [Consultado el 15 de junio de 2021].<\/li><li>Carr PJ, Higgins NS, Cooke ML, Mihala G, Rickard CM. Vascular access specialist teams for device insertion and prevention of failure. Cochrane Database of Systematic Reviews 2018, Issue 3. Art. No.: CD011429.<\/li><li>Royal College of Nursing. Standards for Infusion Therapy. Publicado 12\/12\/2016. Disponible en: https:\/\/www.rcn.org.uk\/professional-development\/publications\/pub-005704 [Consultado el 15 de junio de 2021].<\/li><li>Centers of disease control and prevention (CDC). Healthcare-associated Infections (HAI). Frequently Asked Questions about Catheters. Disponible en: https:\/\/www.cdc.gov\/hai\/bsi\/catheter_faqs.html#:~:text=A%20central%20venous%20catheter%20can,intens ve%20care%20units%20(ICUs) [Consultado el 15 de junio de 2021].<\/li><li>Ram\u00edrez-Latorre JL, Pati\u00f1o-Arias A, L\u00f3pez-Hernandez CA, Giraldo-Salazar O, Yepes-Tejada DA, Erazo-Posada SE. Analgesia intravenosa ambulatoria con bombas elastom\u00e9ricas en pacientes sometidos a cirug\u00eda pl\u00e1stica: serie prospectiva de casos. Rev Colomb Anestesiol 2018; 46: 3\u20138.<\/li><li>Wikipedia. Disponible en: https:\/\/es.wikipedia.org\/wiki\/Jeringa [Consultado el15 de junio de 2021].<\/li><li>Mattox EA. Complications of Peripheral Venous Access Devices: Prevention, Detection, and Recovery Strategies. Crit Care Nurse 2017; 37 (2): e1\u2013e14.<\/li><\/ol>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--a4a589d47b7f0b57ed19c50e7f1c0e7c wp-block-paragraph\">FOR THE EXCLUSIVE USE OF THE MEDICAL PROFESSIONAL<\/p>\n\n<\/div>\n\n    <\/div>\n\n    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