OPAT: proof of concept in a peripheral Belgian hospital after review of the literature
| Autor: | Bea Van den Poel, Eric Frans, Sara Ombelet, Freija Verbiest, Annick Smismans, Peter Lybeert, Johan Frans, Sandrina von Winckelmann, Annelore Peeters, Christophe Indevuyst, Erwin Ho, Andre Heremans, Astrid Vantrappen |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Adult medicine.medical_specialty Adolescent education 030106 microbiology Communicable Diseases 03 medical and health sciences Young Adult 0302 clinical medicine Ambulatory care Anti-Infective Agents Belgium medicine Ambulatory Care Humans 030212 general & internal medicine Intensive care medicine Child Infusions Intravenous Aged Retrospective Studies Aged 80 and over Cross Infection business.industry Parenteral antibiotic Infant General Medicine Middle Aged Antimicrobial Child Preschool Practice Guidelines as Topic business |
| Zdroj: | Acta clinica Belgica. 73(4) |
| ISSN: | 2295-3337 |
| Popis: | Since its introduction in the 1970s in the United States, outpatient parenteral antibiotic/antimicrobial therapy (OPAT) has been adopted internationally for long-term intravenous (IV) treatment of stable infectious diseases. The aim is to provide a safe and successful completion of IV antimicrobial treatment at the ambulatory care center or at home without complications and costs associated with hospitalization. OPAT implementation has been accelerated by progress in vascular access devices, newly available antibiotics, the emphasis on cost-savings, as well as an improved patient comfort and a reduced incidence of health care associated infections with a similar outcome. OPAT utilization is supported by an extensive published experience and guidelines of the British Society of Antimicrobial Chemotherapy and the Infectious Diseases Society of America for adults as well as for children. Despite these recommendations and its widespread adoption, in Belgium OPAT is only fully reimbursed and established for cystic fibrosis patients. Possible explanations for this unpopularity include physician unfamiliarity and a lack of uniform funding arrangements with higher costs for the patient. This article aims to briefly review benefits, risks, indications, financial impact for supporting OPAT in a non-university hospital as standard of care. Our experience with OPAT at the ambulatory care center of our hospital and its subsequent recent introduction in the home setting is discussed. |
| Databáze: | OpenAIRE |
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