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Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings
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An Assessment of an Outpatient Antimicrobial Therapy Program in a Rural Medical Center : A Retrospective Chart Review
Matthew Shawn Burkett1, Angela Macci Bires, Thomas W Cline
1Green Tree Medical Center, Rices Landing, Pennsylvania (Dr Burkett); Department Head Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Dr Macci Bires); Saint Vincent College, Latrobe, Pennsylvania (Dr Cline); and University of Iowa, Iowa City (Dr Knight).
Critical Care Nursing Quarterly
|March 2, 2018
Summary
Outpatient parenteral antimicrobial therapy (OPAT) for community-acquired pneumonia can reduce hospital admissions. This approach is essential for patient care and adherence to best practices, offering significant cost savings.
Area of Science:
- Infectious Diseases
- Health Services Research
Background:
- Outpatient parenteral antimicrobial therapy (OPAT) is increasingly supported by current literature.
- Community-acquired pneumonia (CAP) is a common condition often requiring hospitalization.
Purpose of the Study:
- To evaluate an OPAT program for community-acquired pneumonia.
- To determine if OPAT for CAP prevents future hospitalizations.
- To assess the cost-effectiveness of OPAT compared to inpatient care.
Main Methods:
- Retrospective medical record review of 50 patients with confirmed pneumonia treated with OPAT over 3 months.
- Evaluation by an in-house OPAT team.
- Informal cost-benefit analysis comparing OPAT with inpatient admissions.
Main Results:
- An estimated daily healthcare cost savings of approximately $2100 was achieved.
- Decreased hospital readmissions were observed for patients treated with OPAT.
Conclusions:
- Implementation of an OPAT program is essential for patient care.
- OPAT supports evidence-based best practice adherence.
- OPAT offers a viable and cost-effective alternative for managing community-acquired pneumonia.
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