What things might you consider when devising an OPAT plan? The stewardship principle of the right drug, for the right condition, for the right duration and right route should always …
Intravascular devices are an essential component of any OPAT service but they are not without risk. Complications include phlebitis, thrombosis, localised infection, blood stream related infection and (rarely) embolisation. In …
The antimicrobial choice should be based on the principles contained in the local antimicrobial stewardship programme, taking into account: The antimicrobial spectrum (narrow, specific to the organism & minimal potential …
Both the UK BSAC Good Practice Recommendations and the IDSA OPAT guidance recommend having good clinical governance practices together with outcome monitoring and the ability to manage risk. Please find …
In Week 1 we made reference to the United Kingdom’s BSAC Adult and Paediatric OPAT good practice recommendations. You can review them again here or at the links at the …
In Week 1 of this course we have seen that an OPAT service requires the complementary roles, skills and competencies of it’s core members. A key first step in safe …
Referral to OPAT may be acute where the aim is admission avoidance (e.g cellulitis) or non-acute where the aim is reduction in length of stay (e.g. following surgery for an …
So far we have considered the clinical and organisational benefits of OPAT and we have heard from the core members of the OPAT team. We will now look at patient …
Paediatric OPAT shares great similarities with adult OPAT in terms of the principles of safe delivery. However, there are some unique differences. Hear the views from Dr Sanjay Patel. Discuss …
The inclusion of a medically qualified infection specialist within the core OPAT team is to ensure infection management plans, including choice of IV or oral agent(s), criteria for IV to …
The specialist antimicrobial pharmacist (AMP) is a core member of the OPAT team being involved in patient screening and providing pharmaceutical care for those patients who enter the OPAT programme. …
The specialist OPAT nurse is a core member of the OPAT team. The specialist nurse has developed expertise in assessment of appropriateness and suitability for home or clinic administration of …
This introductory OPAT course has been developed by the Co-chairs of the UK British Society of Antimicrobial Chemotherapy (BSAC) OPAT initiative: Dr Andrew Seaton (an infectious diseases physician based in …
There are a variety of ways in which antimicrobials may be administered via an OPAT service. These include: Self administration (following training and availability of the appropriate drug delivery system) …