Oxygen as a drug and scarce commodity: Do we use it rationally?

South African Family Practice

Field Value
Title Oxygen as a drug and scarce commodity: Do we use it rationally?
Creator Groenewald, Linda Faber, Lurika Fourie, Jean-Pierre Oosthuizen, Cornelius J. Müller, Miécke van der Westhuizen, Kayla Kapp, Dian D. Swanepoel, Righard Brits, Hanneke
Subject family medicine; primary health care; general practice oxygen therapy; COVID-19; prescription; medical drug; wastage
Description Background: Medical grade oxygen is classified as a drug and needs to be prescribed by a qualified healthcare professional. Oxygen therapy is prescribed to people who cannot maintain normal blood oxygen saturation while breathing atmospheric air. The coronavirus disease 2019 (COVID-19) pandemic highlighted the importance of the rational use of this scarce commodity. This study investigated oxygen therapy practices in adult ward patients.Methods: A cross-sectional study design with an analytical component was used in the adults wards at a National District Hospital and the Pelonomi Academic Hospital in Bloemfontein. Data were collected from patient files, interviews and oxygen measurements of adult patients that received oxygen.Results: One hundred and fifteen patients were included in the study, of whom 47.0% received oxygen without an oxygen prescription. Around 62.3% of the patients with prescriptions did not receive oxygen as prescribed. The prescriptions and oxygen administration for COVID-19 patients were better than for non–COVID-19 patients. A quarter of the patients possibly received oxygen therapy unnecessarily.Conclusion: Poor oxygen therapy practices were identified, including prescription errors, oxygen administration errors and oxygen wastage. A protocol should be developed and implemented for the prescription and administration of oxygen therapy. Training should occur to prevent oxygen wastage.Contribution: This study highlighted poor oxygen practices and prescriptions, as well as oxygen wastage in the absence of local oxygen therapy guidelines.
Publisher AOSIS
Date 2022-09-21
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Prospective Descriptive
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v64i1.5544
Source South African Family Practice; Vol 64, No 1 (2022): Part 4; 6 pages 2078-6204 2078-6190
Language eng
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https://safpj.co.za/index.php/safpj/article/view/5544/7553 https://safpj.co.za/index.php/safpj/article/view/5544/7554 https://safpj.co.za/index.php/safpj/article/view/5544/7555 https://safpj.co.za/index.php/safpj/article/view/5544/7556
Coverage Africa; South Africa; Free State; Mangaung; Bloemfontein October-December 2020 18 and above; general adult medical wards; receiving oxygen
Rights Copyright (c) 2022 Linda Groenewald, Lurika Faber, Jean-Pierre Fourie, Cornelius J. Oosthuizen, Miécke Müller, Kayla van der Westhuizen, Dian D. Kapp, Righard Swanepoel, Hanneke Brits https://creativecommons.org/licenses/by/4.0