Abstract：
In the wake of the COVID-19 pandemic, and its negative impact on both acute and elective care and decline in available inpatient resources, there is an imperative to maximize safe and effective alternatives to inpatient hospital care. Properly governed outpatient parenteral antimicrobial therapy (OPAT) services embed the principles of antimicrobial stewardship (AMS) (including use of early oral therapy) and support admission avoidance and early discharge for a growing range of patient groups with complex infections through well-organized multidisciplinary team working. Expansion of OPAT aligns with the UK\'s national strategy to deliver care closer to home and cost-effectively maximize use of inpatient resources. OPAT serves as an exemplar to other ambulatory services and presents opportunities for developing and assuring AMS strategies within the rapidly developing hospital-at-home and virtual ward environments.
摘要：
在COVID-19大流行之后，以及它对急性和选择性护理的负面影响，以及可用住院资源的下降，必须最大限度地提高住院医院护理的安全有效替代方案。适当管理的门诊肠外抗菌治疗（OPAT）服务嵌入了抗菌药物管理（AMS）的原则（包括使用早期口服治疗），并通过组织良好的多学科团队合作，为越来越多的复杂感染患者群体提供了入院避免和早期出院的支持。OPAT的扩展符合英国的国家战略，即在离家更近的地方提供护理，并以经济有效的方式最大限度地利用住院资源。OPAT是其他门诊服务的典范，并为在快速发展的家庭医院和虚拟病房环境中开发和确保AMS策略提供了机会。
