Maximising the opportunity of a self-administration outpatient parenteral antimicrobial therapy pathway

The University Hospitals of Leicester NHS Trust outpatient parenteral antimicrobial therapy (OPAT) service has expanded rapidly with more nurse-led direction. A retrospective study between 1 July 2014 and 31 December 2019 was undertaken to assess the impact of OPAT expansion on beds released for fur...

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Bibliographic Details
Published in:	British journal of nursing (Mark Allen Publishing) Vol. 30; no. 2; p. S4
Main Authors:	Bodycot, Jake, Mashonganyika, Linda, Kucziw, Nicola, Ingham, Chanelle, Bhukera, Samira, White, Helena A
Format:	Journal Article
Language:	English
Published:	England 28-01-2021
Subjects:	Ambulatory Care Anti-Bacterial Agents - therapeutic use Anti-Infective Agents - therapeutic use Humans Infusions, Parenteral Outpatients Retrospective Studies Parenteral antibiotics OPAT Self-administration Outpatient parenteral antimicrobial therapy
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Summary:	The University Hospitals of Leicester NHS Trust outpatient parenteral antimicrobial therapy (OPAT) service has expanded rapidly with more nurse-led direction. A retrospective study between 1 July 2014 and 31 December 2019 was undertaken to assess the impact of OPAT expansion on beds released for further utilisation, clinical outcomes, adverse vascular access device (VAD) outcome, and self- and family-administered parenteral antimicrobial therapy. Data were extracted from the OPAT Patient Management System and from a patient questionnaire survey. 1084 completed patient episodes were recorded in 958 patients, rising from 39 episodes in 2014 to 265 in 2019. The number of beds released for further utilisation correspondingly rose from 828 in 2014 to 8462 in 2019. The proportion of patients/family members trained to self-administer rose from 25% to 75%, with clinical cure/improvement of infection remaining high at between 84.6% and 92.8% of patients annually. Serious adverse VAD events remained low throughout. The patient response was generally positive. Nurse empowerment within OPAT can lead to significant improvements and patient benefits, while maintaining clinical outcomes.
ISSN:	0966-0461
DOI:	10.12968/bjon.2021.30.2.S4