门诊肠胃外抗菌治疗(OPAT)被认为是一种对患者友好且具有成本效益的做法。OPAT服务的患者可能有发生不良事件的风险。由于实践中的广泛变化,已经制定了指导方针以尽量减少风险。
■在这第一次关于OPAT的全球调查中,我们探索了目前世界各地的OPAT服务,坚持建议,并从不同角度确定最佳做法和挑战。
■进行了一项电子调查,内容包括有关人口统计的问题,OPAT服务的特点,药学的作用,未来的发展,和受访者对改进以及最佳实践的看法。
■共包括来自28个国家的126份答复。78%的受访者表示,他们的机构在门诊提供抗菌治疗,而22%没有。42%(42%)有OPAT服务的医院有专门的OPAT服务,而14%的人缺乏专业服务,22%的人有部分专业的团队。在具有专业OPAT服务的设施中,出院前强制性传染病(ID)咨询的次数以及由ID专家或OPAT团队成员进行的临床监测,监测的频率,OPAT注册表的可用性更高。多学科团队的存在通常被认为是最佳实践。另一方面,受访者在报销方面遇到困难,筛选缺乏标准化,患者的随访和监测。
■本调查提供了对全球OPAT服务的实施和实践的更好理解,并描述了最佳实践以及来自不同专业人员的挑战。
UNASSIGNED: Outpatient Parenteral Antimicrobial Therapy (OPAT) is considered a patient-friendly and cost-effective practice. Patients in the OPAT service can be at risk for developing adverse events. Due to extensive variations in practice, guidelines have been developed to minimize the risks.
UNASSIGNED: In this first worldwide survey on OPAT, we explored the current OPAT services around the world, adherence to recommendations and identified best practices and challenges from different perspectives.
UNASSIGNED: An e-survey was conducted and consisted of questions about demographics, characteristics of the OPAT service, role of pharmacy, future developments, and respondents\' views on improvements as well as best practices.
UNASSIGNED: A total of 126 responses from 28 countries were included. Seventy-eight percent (78%) of the respondents stated that their facility provides antimicrobial therapy in the outpatient setting, whereas 22% did not. Forty-two percent (42%) of the hospitals with OPAT services had a specialized OPAT service, while 14% lacked specialized services and 22% had a partially specialized team in place. In facilities with a specialized OPAT service, the number of mandatory infectious disease (ID) consultations before discharge and clinical monitoring by an ID specialist or OPAT team member, the frequency of monitoring, and the availability of an OPAT registry were higher. A multidisciplinary team\'s presence was commonly noted as best practices. On the other hand, respondents experienced difficulties with reimbursement and lack of standardization in the screening, follow-up and monitoring of patients.
UNASSIGNED: This survey provides a better understanding of the implementation and practices of OPAT services globally and describes best practices and the challenges from different professionals.
Best practices, implementation and challenges of outpatient parenteral antimicrobial therapy: results of a worldwide survey among healthcare providers.
UNASSIGNED: Outpatient parenteral antimicrobial therapy (OPAT) is defined as ‘the administration of parenteral antimicrobial therapy in at least 2 doses on different days without intervening hospitalization’National and continental studies show a great proportion of unregulated OPAT services with the implementation of a specialized OPAT team varying extensively.Besides the perspectives of infectious disease specialists, the perspectives of other healthcare workers involved with OPAT is under investigated.
UNASSIGNED: An electronic e-survey was conducted with questions about demographics, characteristics of OPAT service, the role of the pharmacy in OPAT, future developments and best-practices and challenges.
UNASSIGNED: OPAT services have a high global adoption rate of 78%, however only 42% of healthcare facilities offer formal OPAT servicesFacilities with formal OPAT services have higher requirements for infectious disease consultation before discharge, clinical monitoring by an OPAT team member, monitoring frequency, and availability of an OPAT registryBest practices include a multidisciplinary OPAT team and the use of elastomer pumpsCommon challenges in OPAT involve reimbursement issues and lack of standardization in patient screening, follow-up, and monitoring.
UNASSIGNED: This is the first worldwide study exploring the implementation of OPAT services and perspectives of different professionals.