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Optimizing Outpatient Parenteral Antimicrobial Therapy (OPAT): A survey of community nurses' practices in France
S Raux1, A Communaux1, J P Talarmin2
1NHC Lorient, France.
Objective:
This study aimed to assess the implementation and organization of Outpatient Parenteral Antimicrobial Therapy (OPAT) in France by examining the practices of community nurses (CNs).
Materials And Methods:
An online survey on OPAT practices was distributed to CNs throughout France.
Results:
All in all, 520 responses were received, with 448 (86%) from CNs who had experience with OPAT. Three hundred and thirty-three (74%) reported not always having the necessary equipment for care. Regarding communication, 276 (62%) were not always informed of the diagnosis, and 411 (93%) lacked access to patient care history. Three hundred and fifty-nine nurses (80%) did not fully comply with antibiotic prescriptions. Among 272 nurses who had administered intermittent infusions three to four times a day, 232 (85%) reported difficulties in maintaining prescribed dosing intervals.
Conclusion:
In order to optimize patient outcomes, OPAT stands in need of systemic improvements in communication, equipment availability, and prescription adherence.
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