Name of the Procedure:

Injection, oxacillin sodium, up to 250 mg (HCPCS code J2700)

Summary

This procedure involves the administration of oxacillin sodium, an antibiotic used to treat or prevent bacterial infections. The medication is delivered via injection, typically administered by a healthcare professional.

Purpose

Medical Conditions or Problems Addressed:

• Bacterial infections, including those caused by penicillin-resistant Staphylococcus aureus (PRSA). ##### Goals or Expected Outcomes:
• Elimination or reduction of bacterial infection.
• Prevention of infection spread in cases of potential exposure.

Indications

Specific Symptoms or Conditions:

• Skin and soft tissue infections.
• Respiratory tract infections.
• Bone and joint infections.
• Other infections where oxacillin is indicated. ##### Patient Criteria:
• Patients with confirmed bacterial infections sensitive to oxacillin.
• Patients at risk of complications from bacterial infections.

Preparation

Pre-procedure Instructions:

• No specific preparation or fasting required.
• Disclose any allergies, especially to antibiotics, to your healthcare provider. ##### Diagnostic Tests:
• Culture and sensitivity tests to confirm the bacterial type and susceptibility to oxacillin.

Procedure Description

Step-by-Step Explanation:

1. The site of injection is cleaned and sterilized.
2. Oxacillin sodium, up to 250 mg, is drawn into a syringe.
3. The injection is administered intramuscularly or intravenously.
4. After injection, the site is monitored for any immediate reactions. ##### Tools and Equipment:
   • Sterile syringe and needle.
   • Antiseptic solution.
   • Injection site bandage. ##### Anesthesia or Sedation:
   • Not typically required.

Duration

• The actual injection takes a few minutes, but allowing time for preparation and monitoring, the entire process might take about 15-30 minutes.

Setting

• Performed in a hospital, outpatient clinic, or sometimes at a physician’s office.

Personnel

• Administered by a nurse or physician.
• Supervision by a physician if needed.

Risks and Complications

Common Risks:

• Pain or swelling at the injection site.
• Mild allergic reactions (e.g., rash). ##### Rare Risks:
• Severe allergic reactions (e.g., anaphylaxis).
• Infection at the injection site. ##### Management of Complications:
• Immediate medical attention for severe reactions.
• Local care for injection site issues.

Benefits

• Rapid action against bacterial infections.
• Reduced risk of complications from untreated infections.
• Benefits are typically noticed within a few days.

Recovery

Post-Procedure Care:

• Monitor the injection site for undue redness or swelling.
• Follow the prescribed antibiotic course as directed. ##### Expected Recovery Time:
• Minimal downtime; normal activities can usually be resumed immediately. ##### Restrictions and Follow-Up:
• No significant restrictions.
• Follow-up appointments if the infection doesn't improve.

Alternatives

Other Treatment Options:

• Other antibiotics depending on bacterial culture results.
• Oral antibiotics if appropriate. ##### Pros and Cons of Alternatives:
• Oral antibiotics avoid injections but may be less effective for certain infections.
• Other antibiotics may have different side effect profiles.

Patient Experience

During the Procedure:

• A brief sting or pinch from the needle. ##### After the Procedure:
• Possible soreness at the injection site.
• Typically well-tolerated with minimal discomfort. ##### Pain Management and Comfort Measures:
• Over-the-counter pain relievers can be used if needed.
• Applying a cold pack to the injection site may reduce discomfort.