Unified infusion rates for 10% intravenous immunoglobulin

Date

2018-06-06

Authors

Crispin, Philip
Burgess, Maria
Beath, Amy

Journal Title

Journal ISSN

Volume Title

Publisher

Pergamon Press

Abstract

Although manufacturers recommend varying infusion rates for differing intravenous immunoglobulin products (IVIg), there may be improved efficiency and reduced potential for error with the application of a single infusion policy for all IVIg products. During the transition from a 6% to a 10% IVIg, we prospectively evaluated patient reported adverse reactions to IVIg with the 10% product (Intragam 10) given at a rate faster than recommended by the manufacturer. While there was a significant increase in the rate of immediate infusion reactions when compared with the previous IVIg preparation (Intragam P), there was no increase in the rate of reactions post infusion. The rate of reactions was within previously reported expectations for other IVIg products. All reactions were minor, requiring no or minimal intervention and few impacted significantly on the quality of life. Despite an active haemovigilance program, minor adverse reactions were generally not reported. Our results suggest that a fast single rate of IVIg infusion is safe,and may minimise patient attendance and hospital resources with acceptable safety. In implementing a strategy to increase IVIg infusion rates an active process to monitor safety is preferred over standard haemovigiliance or pharmacovigilance processes.

Description

Keywords

Intravenous immunoglobulin, Transfusion, Adverse, Hemovigilance, Infusion, events

Citation

Source

Transfusion and Apheresis science

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

DOI

10.1016/j.transci.2018.02.023

Restricted until

2099-12-31