Name of the Procedure:

Injection, streptomycin, up to 1 gm (HCPCS Code J3000)

Summary

This procedure involves administering an injection of streptomycin, an antibiotic used to treat certain bacterial infections. The dosage given is up to 1 gram.

Purpose

Streptomycin injection is used to treat serious bacterial infections, including tuberculosis (TB) and other infections caused by susceptible bacteria. The main goal is to eliminate the infection and prevent its spread, improving patient health and reducing symptoms.

Indications

• Tuberculosis
• Bacterial endocarditis
• Plague
• Tularemia
• Brucellosis

It is appropriate for patients diagnosed with these infections, particularly when other antibiotics are not effective or cannot be used.

Preparation

• Patients may need to undergo blood tests and cultures to confirm the bacterial infection and determine its sensitivity to streptomycin.
• No specific fasting is required.
• Patients should inform their healthcare provider about any medications they are taking, allergies, or pre-existing conditions.

Procedure Description

1. The healthcare provider confirms the dosage (up to 1 gram) based on the patient's condition and weight.
2. The patient is positioned comfortably.
3. The skin at the injection site is cleaned with an antiseptic solution.
4. Streptomycin is injected intramuscularly (into a muscle), typically in the hip or thigh.
5. The injection site is monitored for any immediate reactions.

Duration

The actual injection takes a few minutes, but the overall process, including preparation and observation, may take about 20-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic, a physician's office, or a hospital setting.

Personnel

• A licensed nurse or physician administers the injection.
• A pharmacist may be involved in preparing the correct dosage.
• Physician oversight ensures the procedure is performed safely and effectively.

Risks and Complications

• Common risks: Pain, redness, or swelling at the injection site; dizziness; nausea.
• Rare risks: Allergic reactions; hearing loss; kidney damage; vestibular toxicity.

To manage complications, immediate medical attention and appropriate treatment measures will be provided.

Benefits

• Effective treatment of serious bacterial infections.
• Fast-acting, with benefits typically realized within a few days to weeks, depending on the infection.

Recovery

• Patients can usually resume normal activities shortly after the injection.
• Rest may be recommended if the patient experiences any side effects.
• Follow-up appointments are necessary to monitor the infection and adjust treatment as needed.

Alternatives

• Other antibiotics (oral or intravenous), depending on the type of bacterial infection.
• The pros of streptomycin: Effective for certain resistant infections.
• The cons: Potential side effects like kidney and ear toxicity.

Patient Experience

• Patients may feel a brief sting or discomfort at the injection site.
• Managing pain: Applying a cold pack to the injection site and taking over-the-counter pain relievers if necessary.
• Overall, most patients tolerate the injection well and can return to their daily activities quickly.