Development, implementation, and evaluation of a community- and hospital-based respiratory syncytial virus prophylaxis program.
OBJECTIVE
To implement and deliver a respiratory syncytial virus prophylaxis (RSVP) program in response to the Canadian Pediatric Society recommendations.


METHODS
A novel program was designed to provide inpatient RSVP for at-risk infants cared for in 1 tertiary care newborn intensive care unit (NICU). This inpatient program was part of a coordinated approach to RSVP, designed and implemented by 3 hospitals. An RSVP program logic model was created and used by a multidisciplinary team to evaluate the in-house program and identify areas of program activity requiring improvement.


RESULTS
Following the 2000 to 2001 RSV season, a compliance and outcomes audit was performed in the tertiary center; 193 infants were enrolled in the RSVP program and 162 infants had received RSVP in the NICU [Mean = 1.64 doses]. Telephone follow-up with the parents of discharged infants identified that 159 infants (98%) had successfully completed their full course of RSVP. Using the RSVP program logic model, 5 areas for program improvement were identified including infant recruitment, patient transfer/discharge processes, product procurement, preparation/distribution/administration of doses, and healthcare team communication.


CONCLUSIONS
Interdisciplinary collaboration is an important factor in the success of the RSVP program and has supported a consistent model of care for the delivery of RSVP. The program logic model provided a useful structure to systematically review the RSVP program in this organization.
Bracht
Marianne
M
Department of Pediatrics, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada. mbracht@mtsinai.on.ca
Heffer
Michael
M
O'Brien
Karel
K
D019072:Antibiotic Prophylaxis / Q000379:methods / Q000592:standards*; D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007297:Inpatients; D007363:Intensive Care Units, Neonatal; D016015:Logistic Models; D010353:Patient Education as Topic / Q000592:standards; D015397:Program Evaluation; D018357:Respiratory Syncytial Virus Infections / Q000188:drug therapy* / Q000517:prevention & control