Patient Characteristics and Outcomes of Outpatient Parenteral Antimicrobial Therapy: A Retrospective Study

Joint Authors

Yan, Marie
Elligsen, Marion
Daneman, Nick
Simor, Andrew E.

Source

Canadian Journal of Infectious Diseases and Medical Microbiology

Issue

Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2016-02-22

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Biology

Abstract EN

Outpatient parenteral antimicrobial therapy (OPAT) is a safe and effective alternative to hospitalization for many patients with infectious diseases.

The objective of this study was to describe the OPAT experience at a Canadian tertiary academic centre in the absence of a formal OPAT program.

This was achieved through a retrospective chart review of OPAT patients discharged from Sunnybrook Health Sciences Centre within a one-year period.

Between June 2012 and May 2013, 104 patients (median age 63 years) were discharged home with parenteral antimicrobials.

The most commonly treated syndromes included surgical site infections (33%), osteoarticular infections (28%), and bacteremia (21%).

The most frequently prescribed antimicrobials were ceftriaxone (21%) and cefazolin (20%).

Only 56% of the patients received follow-up care from an infectious diseases specialist.

In the 60 days following discharge, 43% of the patients returned to the emergency department, while 26% required readmission.

Forty-eight percent of the return visits were due to infection relapse or treatment failure, and 23% could be attributed to OPAT-related complications.

These results suggest that many OPAT patients have unplanned health care encounters because of issues related to their infection or treatment, and the creation of a formal OPAT clinic may help improve outcomes.

American Psychological Association (APA)

Yan, Marie& Elligsen, Marion& Simor, Andrew E.& Daneman, Nick. 2016. Patient Characteristics and Outcomes of Outpatient Parenteral Antimicrobial Therapy: A Retrospective Study. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100019

Modern Language Association (MLA)

Yan, Marie…[et al.]. Patient Characteristics and Outcomes of Outpatient Parenteral Antimicrobial Therapy: A Retrospective Study. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1100019

American Medical Association (AMA)

Yan, Marie& Elligsen, Marion& Simor, Andrew E.& Daneman, Nick. Patient Characteristics and Outcomes of Outpatient Parenteral Antimicrobial Therapy: A Retrospective Study. Canadian Journal of Infectious Diseases and Medical Microbiology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100019

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1100019