Famciclovir Prophylaxis of Varicella Zoster Virus Reactivation in Children After Hematopoeitic Stem Cell Transplantation

A.-M. Charbonneau-Allard, R. Therrien
2009 Biology of Blood and Marrow Transplantation  
17). 72% of patients had at least 1 medication omitted from their list at their first pharmacist visit. 367 pharmaceutical care recommendations were made on 76 patients, with 72% of recommendations accepted. The most frequent recommendations included osteoporosis prevention/management (n 5 51), calcineurin inhibitor dose adjustment (n 5 43), pneumocystis prophylaxis (n 5 26), electrolyte replacement (n 5 25), and antiviral prophylaxis/treatment (n 5 20). 220 medications were identified as
more » ... identified as requiring a new written prescription. Conclusion: Pharmacist involvement in the allogeneic stem cell transplant clinic has improved medication list accuracy and pharmaceutical care of patients. ; 2 Texas Oncology -Charles A. Sammons Cancer Center, Dallas, TX Baylor University Medical Center performs approximately 200 Blood and Marrow transplants annually in the inpatient and outpatient settings. The medication regimens prescribed for these patients at discharge are complex, confusing, and often prove overwhelming to patients during the transplant process. In our program, pharmacy staff works in conjunction with the physicians to provide medication education and teaching to transplant patients. We began using MedActionPlan.com, a free web-based tool that allows for the creation of personalized treatment plans for patients and saves their records in a program specific database. Each plan includes images of the medications prescribed, instructions of use, abbreviated drug information for each medication as well as a medication schedule checklist for patient use. This checklist may be used to record adherence, upcoming appointments or other relevant medical information. Plans may be customized to fit individual patient needs and have the option to be translated into Spanish. All medication plans are accessible from any computer by a user specific log-on and password. MedActionPlan.com is secure, and meets all HIPPA requirements and Joint Commission's goals for improving patient safety and education for medication therapy. The web-based program also contains an export function, allowing schedules to be sent directly to patients for their medication managment. These schedules can be customized into regular-print, large-font or wallet-sized versions depending on patient-specific needs. In addition to enhancing communication between the inpatient and
doi:10.1016/j.bbmt.2008.12.106 fatcat:6vn35b4x2jdcznoj4hhlky7e5q