title: Importance of ancillary supplies for subcutaneous immunoglobulin infusion: management of the local infusion site.
abstract: A number of ancillary supplies are used in the process of administering subcutaneous immunoglobulin. The particular type of ancillary supplies used (needles, tubing, and tape) may contribute to the development of issues at the local infusion site. Patient case studies demonstrate that changes in the choice of ancillary supplies can often alleviate these issues. The use of alternative ancillary supplies should be considered prior to the possibility of changing immunoglobulin replacement products in patients experiencing local infusion-site issues in order to improve outcomes and increase compliance. A treatment progression algorithm of ancillary supply adjustments has been developed.
authors.affiliation: University of South Florida, Tampa, Florida (Ms Duff); Maxim Healthcare and Dallas Allergy and Immunology, both in Dallas, Texas (Ms Ochoa); and CSL Behring, LLC, King of Prussia, Pennsylvania (Mss Riley, Murphy, and Zampelli). Carla Duff, MSN, CPNP, CCRP, is a pediatric nurse practitioner in the Division of Pediatric Allergy and Immunology at the University of South Florida/All Children's Hospital in St Petersburg, Florida. She has many years of experience with clinical immunology and managing immunoglobulin replacement therapy for primary immunodeficient patients. Diana Ochoa, LVN, is a consultant for CSL Behring and was formerly a member of nurses advisory boards for Green Cross and Baxter. She has 17 years of experience with a large allergy and immunology practice in the Dallas area. Patty Riley, BAN, RN, CRNI®, is a medical science liaison in immunology for CSL Behring. She has 3 decades of clinical experience in adult critical care, neurology, and immunology. Elyse Murphy, BSN, RN, is a medical science liaison with CSL Behring with expertise in immunoglobulin therapies for more than 30 years in the disease state areas of immunology, hematology-oncology, neurology, and transplant. Annette Zampelli, MSN, CRNP, is a medical science liaison with CSL Behring with expertise in immunoglobulin therapies. She has worked for more than 20 years in the disease state areas of immunology, hematology-oncology, neurology, and transplant.
authors.forename: Carla
authors.initials: C
authors.lastname: Duff
authors.forename: Diana
authors.initials: D
authors.lastname: Ochoa
authors.forename: Patty
authors.initials: P
authors.lastname: Riley
authors.forename: Elyse
authors.initials: E
authors.lastname: Murphy
authors.forename: Annette
authors.initials: A
authors.lastname: Zampelli
mesh_terms: D000328:Adult; D000465:Algorithms; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007136:Immunoglobulins / Q000008:administration & dosage*; D055104:Infusions, Subcutaneous / Q000009:adverse effects* / Q000295:instrumentation; D008297:Male
chemical_list: D007136:Immunoglobulins