questionsmedicales.fr
Thérapeutique
Traitement médicamenteux
Voies d'administration de substances chimiques et des médicaments
Perfusions parentérales
Perfusions parentérales : Questions médicales fréquentes
Diagnostic
5
Perfusion parentérale
Évaluation clinique
État nutritionnel
Protéines sériques
Malnutrition
Carences vitaminiques
Indication médicale
Nutrition
Symptômes
5
Déshydratation
Incapacité alimentaire
Carence nutritionnelle
Troubles immunitaires
Réaction allergique
Éruption cutanée
Surcharge liquidienne
Œdème
Prévention
5
Complications
Techniques aseptiques
Hygiène
Site de perfusion
Évaluation des risques
Antécédents médicaux
Traitements
5
Solutions isotoniques
Perfusion
Voie intraveineuse
Suivi médical
Antibiotiques
Analgésiques
Durée de traitement
État du patient
Surveillance médicale
Signes vitaux
Complications
5
Réaction allergique
Antihistaminiques
Surcharge liquidienne
Hypertension
Facteurs de risque
5
Facteurs de risque
Système immunitaire
Antécédents médicaux
Maladies chroniques
Solutions
Déséquilibres électrolytiques
Comportements à risque
Protocoles d'hygiène
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"@type": "Question",
"name": "Quels symptômes indiquent une réaction allergique ?",
"position": 9,
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"@type": "Question",
"name": "Quels symptômes peuvent indiquer une surcharge liquidienne ?",
"position": 10,
"acceptedAnswer": {
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"text": "Une prise de poids rapide, un œdème et des difficultés respiratoires peuvent survenir."
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"@type": "Question",
"name": "Comment prévenir les complications liées à la perfusion ?",
"position": 11,
"acceptedAnswer": {
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"text": "Des techniques aseptiques et une surveillance régulière aident à prévenir les complications."
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"@type": "Question",
"name": "Quelles sont les bonnes pratiques d'hygiène ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Se laver les mains, utiliser des gants et désinfecter le site de perfusion sont essentiels."
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"@type": "Question",
"name": "Comment éviter les infections au site de perfusion ?",
"position": 13,
"acceptedAnswer": {
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"text": "Changer régulièrement le site de perfusion et utiliser des antiseptiques réduit le risque d'infection."
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"@type": "Question",
"name": "Quels conseils pour une bonne nutrition pendant la perfusion ?",
"position": 14,
"acceptedAnswer": {
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"text": "Assurer un apport équilibré en nutriments et surveiller les niveaux d'hydratation est crucial."
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"@type": "Question",
"name": "Comment évaluer le risque de complications ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évaluer l'état de santé général et les antécédents médicaux aide à identifier les risques."
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"name": "Quels types de solutions sont utilisés en perfusion ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les solutions peuvent être isotoniques, hypertoniques ou hypotoniques selon les besoins."
}
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"name": "Comment se déroule une perfusion parentérale ?",
"position": 17,
"acceptedAnswer": {
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"text": "La perfusion se fait par voie intraveineuse, avec un suivi régulier des paramètres vitaux."
}
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{
"@type": "Question",
"name": "Quels médicaments peuvent être administrés par perfusion ?",
"position": 18,
"acceptedAnswer": {
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"text": "Des antibiotiques, des analgésiques et des nutriments peuvent être administrés par perfusion."
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"@type": "Question",
"name": "Quelle est la durée typique d'une perfusion ?",
"position": 19,
"acceptedAnswer": {
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"name": "Comment surveiller les effets d'une perfusion ?",
"position": 20,
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"position": 21,
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"text": "Les complications incluent les infections, les thromboses et les déséquilibres électrolytiques."
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"@type": "Question",
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"position": 22,
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"@type": "Question",
"name": "Quels signes d'infection doivent alerter ?",
"position": 23,
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"@type": "Question",
"name": "Comment gérer une réaction allergique à une perfusion ?",
"position": 24,
"acceptedAnswer": {
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"text": "Cesser la perfusion et administrer des antihistaminiques ou des corticostéroïdes si nécessaire."
}
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{
"@type": "Question",
"name": "Quels sont les risques de surcharge liquidienne ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une surcharge liquidienne peut entraîner des œdèmes, une hypertension et des difficultés respiratoires."
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"@type": "Question",
"name": "Quels facteurs augmentent le risque d'infection ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent un système immunitaire affaibli, une mauvaise hygiène et des dispositifs intraveineux prolongés."
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"@type": "Question",
"name": "Comment l'âge influence-t-il le risque de complications ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées ont un risque accru de complications en raison de la fragilité et des comorbidités."
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"@type": "Question",
"name": "Quels antécédents médicaux sont préoccupants ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de maladies chroniques, d'allergies ou de troubles de la coagulation sont préoccupants."
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"@type": "Question",
"name": "Comment le type de solution affecte-t-il le risque ?",
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Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 11/03/2026
Contenu vérifié selon les dernières recommandations médicales
4 publications dans cette catégorie
Affiliations :
NHS England, Birmingham, UK.
Publications dans "Perfusions parentérales" :
4 publications dans cette catégorie
Affiliations :
Pharmacy Department, Nottingham University Hospitals, Nottingham, UK.
Publications dans "Perfusions parentérales" :
4 publications dans cette catégorie
Affiliations :
Department of Pharmacy/Infection, Imperial College Healthcare NHS Trust, London, UK.
Publications dans "Perfusions parentérales" :
4 publications dans cette catégorie
Affiliations :
University Hospitals Plymouth NHS Trust, Plymouth, UK.
University Hospitals Bristol and Weston NHS Trust, Bristol, UK.
Publications dans "Perfusions parentérales" :
4 publications dans cette catégorie
Affiliations :
Department of Infectious Diseases, Queen Elizabeth University Hospital, Glasgow, UK.
Publications dans "Perfusions parentérales" :
4 publications dans cette catégorie
Affiliations :
British Society for Antimicrobial Chemotherapy, Birmingham, UK.
Publications dans "Perfusions parentérales" :
3 publications dans cette catégorie
Publications dans "Perfusions parentérales" :
3 publications dans cette catégorie
Affiliations :
Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Broad Institute, Cambridge, Massachusetts, USA.
Publications dans "Perfusions parentérales" :
3 publications dans cette catégorie
Affiliations :
Department of Nutrition, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Publications dans "Perfusions parentérales" :
3 publications dans cette catégorie
Affiliations :
Biobehavioral Health Sciences Department, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Publications dans "Perfusions parentérales" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Publications dans "Perfusions parentérales" :
3 publications dans cette catégorie
Affiliations :
Surgical Oncology Clinic, The Maria Sklodowska-Curie National Cancer Institute, Krakow, Poland.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
University of Queensland Centre for Clinical Research, Brisbane, Queensland, Australia f.sime@uq.edu.au.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
University of Queensland Centre for Clinical Research, Brisbane, Queensland, Australia.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
University of Queensland Centre for Clinical Research, Brisbane, Queensland, Australia.
Herston Infectious Diseases Institute (HeIDI), Metro North Health, Brisbane, Queensland, Australia.
Departments of Pharmacy and Intensive Care Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Division of Anaesthesiology Critical Care Emergency and Pain Medicine, Nîmes University Hospital, University of Montpellier, Nîmes, France.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
Pharmacy Department, University Hospital, 54511 Vandoeuvre-lès-Nancy, France.
Infostab, Non-Profit Association, 54180 Heillecourt, France.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Broad Institute, Cambridge, Massachusetts, USA.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
University of Queensland Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Herston Infectious Diseases Institute (HeIDI), Metro North Health, Brisbane, Australia.
Departments of Pharmacy and Intensive Care Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Division of Anaesthesiology Critical Care Emergency and Pain Medicine, Nîmes University Hospital, University of Montpellier, Nîmes, France.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
Laboratory of Nutrition and Metabolic Surgery, Department of Gastroenterology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil, LIM 35. Electronic address: dan.waitzberg@gmail.com.
Publications dans "Perfusions parentérales" :
2 publications dans cette catégorie
Affiliations :
Option Care Health, Denver, CO, USA.
Publications dans "Perfusions parentérales" :
The following article analyses the excipients used in the parenteral formulations registered by the U.S. Food and Drug Administration (FDA) in the years 2011 and 2021. It adds real-word data for paren...
Outpatient Parenteral Antimicrobial Therapy (OPAT), an alternative to inpatient intravenous antibiotic therapy, has shown benefits in international studies such as increased patient satisfaction. Beca...
This is an observational study in a German pilot region, including a survey of 58 patients on their experiences with OPAT, and in-depth interviews with 12 patients (explanatory-sequential mixed-method...
Patients reported that they were satisfied with OPAT. That a hospital discharge was possible and anti-infective therapy could be continued in the home environment was rated as being particularly posit...
Patients were generally satisfied with OPAT. However, the treatment structures in Germany still need to be expanded to ensure comprehensive and high-quality OPAT care....
NCT04002453, https://www....
gov/ , (registration date: 2019-06-21)....
We examined the safety and clinical outcomes of outpatient parenteral antibiotic therapy (OPAT) for patients with infective endocarditis (IE) in Christchurch, New Zealand....
Demographic and clinical data were collected from all adult patients treated for IE over 5 years. Outcomes were stratified by receipt of at least partial OPAT vs entirely hospital-based parenteral the...
There were 172 episodes of IE between 2014 and 2018. OPAT was administered in 115 cases (67%) for a median of 27 days after a median of 12 days of inpatient treatment. In the OPAT cohort, viridans gro...
OPAT can be used safely in patients with IE, even in selected cases with complicated or difficult-to-treat infections....
Amoxicillin/clavulanate antibiotic combination is suitable for treating a range of infections, including some suited for Outpatient Parenteral Antimicrobial Therapy (OPAT). The aim of the study was to...
A stability-indicating HPLC assay was developed and validated. Kinetic studies were performed at 1 mg/mL and 15 mg/mL amoxicillin at 40-60 °C. Studies in elastomeric infusers included the pH lowered f...
Amoxicillin and clavulanate eluted at 5.2 and 3.0 minutes, respectively, with linear concentration relationships. Forced degradation retained base-line separation of each component in the presence of ...
Amoxicillin and clavulanate showed adequate stability at 2.9 °C for OPAT storage at 1 mg/mL and possibly 7.5 mg/mL, but not 15 mg/mL. Low shelf-life values at 25 °C also limit administration times....
Subcutaneous apomorphine infusion is a device-aided therapy for Parkinson's disease that can be considered when motor fluctuations become persistent and are no longer adequately controlled by oral/tra...
Patients with chronic intestinal failure use home parenteral nutrition infusion support. Non-compliance of home parenteral nutrition treatment is well documented, especially if clinical resources are ...
A prospective, single-center observational study of 20 patients treated with home parenteral nutrition ≥3 d/wk was conducted over 2022. The patients recorded the pre- and postinfusion home parenteral ...
A total of 45 data sets were collected, with no adverse events noted. In multiple comparisons between patient factors and descriptive statistics, there was no significant difference between manually r...
The data collected by the digital platform accurately reflect patients' infusion data. This connected device has the potential to allow clinicians to be more informed and assess treatment trends and p...
Administration of vancomycin as a continuous infusion has been associated with reduced nephrotoxicity. Given limited published experience with continuous infusion vancomycin in outpatient parenteral a...
This was a retrospective, single-center study of adult patients receiving vancomycin OPAT as continuous or intermittent infusion for an intended treatment duration of at least 7 days. The primary outc...
Four-hundred ninety-two patients were included: 118 treated with continuous and 374 with intermittent vancomycin infusion. Continuous infusion was not associated with lower rates of nephrotoxicity com...
There was no appreciable benefit of continuous infusion vancomycin on outpatient safety outcomes. AUC-centered dosing approaches warrant further investigation as strategies to improve vancomycin safet...
To investigate the stability of aciclovir solutions in elastomeric devices used for outpatient parenteral antimicrobial therapy (OPAT)....
Triplicates of two elastomeric devices, Accufuser and Easypump II, were filled with a solution of 200 mg, 2400 mg, and 4500 mg aciclovir in 240 mL 0.9% w/v saline. Devices were stored at room temperat...
Aciclovir solution at 200 mg and 2400 mg in 240 mL was stable for 14 days at room temperature (<20°C) and 24 hours of 32°C 'in-use' temperature exposure, remaining above the 95% limit for NHS stabilit...
Aciclovir concentrations above 2400 mg/240 mL are liable to precipitation and cannot be recommended for OPAT services because of heightened risks of nephrotoxicity. Aciclovir solution can be given as ...
Outpatient parenteral antimicrobial therapy (OPAT) with continuous infusion pumps is postulated as a very promising solution to treat complicated infections, such as endocarditis or osteomyelitis, tha...
We evaluated the effectiveness and safety of continuous antimicrobial infusion using a disposable elastomeric device in an outpatient parenteral antimicrobial therapy (OPAT) setting. We conducted a re...