Clinical Outcomes of Home Parenteral Antibiotic Therapy Using Accufuser®

Amjad S. Al Seraya; Kholoud Abdulaziz Bin Haikel

doi:10.3889/oamjms.2026.12042

Authors

Amjad S. Al Seraya King Abdulaziz Medical City, King Abdullah International Medical Research Center, National Guard Health Affairs, Riyadh, Saudi Arabia https://orcid.org/0009-0006-2918-0326
Kholoud Abdulaziz Bin Haikel King Abdulaziz Medical City, King Abdullah International Medical Research Center, National Guard Health Affairs, Riyadh, Saudi Arabia https://orcid.org/0000-0001-7497-5853

DOI:

https://doi.org/10.3889/oamjms.2026.12042

Keywords:

Accufuser, infection, antbiotic

Abstract

BACKGROUND: In September 2020, the home health care program introduced the elastomeric pump Accufuser® to the home parenteral antimicrobial therapy program as a new means of administering medications. We aim to assess the clinical outcomes of this recent addition in comparison to traditional administration methods.

METHODS: This is a retrospective cohort study conducted at the Adult Home Health Care Services in King Abdulaziz Medical City, Riyadh. We enrolled all the patients who were accepted at the home parenteral antimicrobial program from January 1, 2019 to May 31, 2022. The outcomes of the group of patients who received therapy through Accufuser® and the group that used other administration methods were compared.

RESULTS: We included 285 patients in this study, among whom 167 (58.6%) were females. Eighty-nine (31.2%) patients utilized Accufuser®, while the rest used direct intravenous (IV) (71, 24.9%) and IV piggyback (125, 43.9%). A significant reduction in the duration of visits (P=<0.00) and the number of daily visits (P=<0.00) was observed in the group that used Accufuser®. Both groups had similar rates of therapy completion (P=0.14). No significant difference was noticed in the rates of complications (P=0.57) or the rates of mortality between the two groups (P=0.14).

CONCLUSION: The Accufuser® device is a safe administration method that reduces both the duration and the number of daily visits.

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