PDF(Pubmed)
Abstract：
BACKGROUND: Outpatient Parenteral Antimicrobial Therapy (OPAT), an alternative to inpatient intravenous antibiotic therapy, has shown benefits in international studies such as increased patient satisfaction. Because OPAT has been used only sporadically in Germany so far, no structured results on patients\' experiences and concerns regarding OPAT have yet been available. This study therefore aims to explore the experiences of OPAT patients in a pilot region in Germany.
METHODS: This is an observational study in a German pilot region, including a survey of 58 patients on their experiences with OPAT, and in-depth interviews with 12 patients (explanatory-sequential mixed-methods design).
RESULTS: Patients reported that they were satisfied with OPAT. That a hospital discharge was possible and anti-infective therapy could be continued in the home environment was rated as being particularly positive. In the beginning, many patients in the interviews were unsure about being able to administer the antibiotic therapy at home on their own. However, healthcare providers (doctors and pharmacy service provider staff) were able to allay these concerns. Patients appreciated regular contact with care providers. There were suggestions for improvement, particularly concerning the organization of the weekly check-up appointments and the provision of information about OPAT.
CONCLUSIONS: Patients were generally satisfied with OPAT. However, the treatment structures in Germany still need to be expanded to ensure comprehensive and high-quality OPAT care.
BACKGROUND: NCT04002453, https://www.
RESULTS: gov/ , (registration date: 2019-06-21).
METHODS: This is an observational study in a German pilot region, including a survey of 58 patients on their experiences with OPAT, and in-depth interviews with 12 patients (explanatory-sequential mixed-methods design).
RESULTS: Patients reported that they were satisfied with OPAT. That a hospital discharge was possible and anti-infective therapy could be continued in the home environment was rated as being particularly positive. In the beginning, many patients in the interviews were unsure about being able to administer the antibiotic therapy at home on their own. However, healthcare providers (doctors and pharmacy service provider staff) were able to allay these concerns. Patients appreciated regular contact with care providers. There were suggestions for improvement, particularly concerning the organization of the weekly check-up appointments and the provision of information about OPAT.
CONCLUSIONS: Patients were generally satisfied with OPAT. However, the treatment structures in Germany still need to be expanded to ensure comprehensive and high-quality OPAT care.
BACKGROUND: NCT04002453, https://www.
RESULTS: gov/ , (registration date: 2019-06-21).
摘要：
背景：门诊肠外抗菌治疗（OPAT），住院静脉抗生素治疗的替代方案，在国际研究中显示出益处，例如增加患者满意度。由于到目前为止，OPAT仅在德国零星使用，目前还没有关于OPAT患者经验和担忧的结构化结果。因此，本研究旨在探索德国试点地区OPAT患者的经验。
方法：这是德国试点地区的一项观察性研究，包括对58名患者的OPAT经历的调查，并对12例患者进行了深入访谈（解释性序贯混合方法设计）。
结果：患者报告他们对OPAT感到满意。可以出院并且可以在家庭环境中继续进行抗感染治疗被认为是特别积极的。一开始,在访谈中，许多患者不确定是否能够自己在家进行抗生素治疗。然而,医疗保健提供者(医生和药房服务提供者工作人员)能够缓解这些担忧.患者赞赏与护理提供者的定期联系。有改进的建议，特别是关于每周检查预约的组织和提供关于OPAT的信息。
结论：患者对OPAT普遍满意。然而,德国的治疗结构仍然需要扩大，以确保全面和高质量的OPAT护理。
背景：NCT04002453,https://www.
结果：gov/，（注册日期：2019-06-21）。
方法：这是德国试点地区的一项观察性研究，包括对58名患者的OPAT经历的调查，并对12例患者进行了深入访谈（解释性序贯混合方法设计）。
结果：患者报告他们对OPAT感到满意。可以出院并且可以在家庭环境中继续进行抗感染治疗被认为是特别积极的。一开始,在访谈中，许多患者不确定是否能够自己在家进行抗生素治疗。然而,医疗保健提供者(医生和药房服务提供者工作人员)能够缓解这些担忧.患者赞赏与护理提供者的定期联系。有改进的建议，特别是关于每周检查预约的组织和提供关于OPAT的信息。
结论：患者对OPAT普遍满意。然而,德国的治疗结构仍然需要扩大，以确保全面和高质量的OPAT护理。
背景：NCT04002453,https://www.
结果：gov/，（注册日期：2019-06-21）。
