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This content is taken from the BSAC's online course, Intravenous to Oral Switch: Within Outpatient Parenteral Antibiotic Therapy (IVOST). Join the course to learn more.

Skip to 0 minutes and 4 secondsSo well done on completing this course on various aspects of OPAT practise. I hope that you are now in a better position and that you've learned something about safely switching patients from intravenous to oral antibiotic therapy within the context of OPAT practise, but also, you may know more now and certainly have thought about how we go about monitoring complex oral antibiotic regimens. I think an area of expanding practise in the future, so how we go about monitoring complex oral antibiotic regimens safely for patients with challenging infections. So thanks for signing up to the course in the first place. Well done on completing the four weeks, and the very best of luck to you in your future OPAT and clinical practise.

End of Course Summary

Congratulations and well done on completing the course.

I hope it has been a valuable learning experience and that you are now more familiar with the principles and concepts of IVOST and COPAT.

You should now understand what IVOST is and have a reasonable working knowledge of the clinical considerations required to safely switch a patient from IV to oral antimicrobials in the OPAT setting. COPAT is an emerging concept but is an opportunity for OPAT services to expand and future-proof their ambulatory care services and provide added value to the local healthcare economy.

I hope the course has encouraged and allowed you to reflect on how complex outpatient-based oral antimicrobial regimens are safely monitored, perhaps facilitated by the thoughts and experiences of and discussion with your fellow learners.

You should also be more familiar with the specific monitoring requirements for a range of oral antimicrobials commonly used in OPAT services for both IVOST and the treatment of infections from the start. The oral antimicrobials we have discussed are not exhaustive and there will be variation in practice from country to country, but the principles and concepts are universal – I hope you will be able to extrapolate these to your own environment, resources and prescribing practice.

We have also covered the practical aspects of developing and managing a COPAT service day-to-day and, importantly, the need for a robust clinical governance framework to measure performance. If you have contributed to the discussion, many thanks for doing so. This helps your fellow learners, but also helps us understand what you are getting from the course and how we can improve it. To that end, if you have any further feedback on this week or the course in general or if there are additional resources you think future learners will find helpful, please let us know.

Good luck and the very best of wishes in your future IVOST and COPAT endeavours.

Gavin Barlow

If you enjoyed this course, you may wish to sign up for the BSAC courses on OPAT and Point Prevalence Surveys.

You can find a full list of BSAC FutureLearn courses here.

Membership to the British Society for Antimicrobial Chemotherapy (BSAC) is free and a great way to keep up-to-date with antimicrobial resistance and stewardship practices.

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Intravenous to Oral Switch: Within Outpatient Parenteral Antibiotic Therapy (IVOST)


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