论证门诊亲肠道抗菌药物治疗 (OPAT) 的情况
R A Seaton1,2, M Gilchrist3,4
1NHS Greater Glasgow and Clyde, Department of Infectious Diseases, Queen Elizabeth University Hospital, Glasgow, UK.
The Journal of antimicrobial chemotherapy
|June 14, 2024
概括
门诊亲肠道抗菌疗法 (OPAT) 为住院护理提供了安全的替代方案,有助于避免入院和提前出院. 扩大OPAT服务支持抗菌药物管理和高效资源使用,与国家医疗保健战略保持一致.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
- 抗微生物药物管理委员会
背景情况:
- 随着COVID-19大流行,医院资源紧张,急性/选择性护理受到干扰.
- 对于住院医院护理的安全和有效替代品有着迫切的需要.
- 门诊亲肠道抗菌疗法 (OPAT) 服务已经成为一个可行的解决方案.
研究的目的:
- 突出OPAT在支持复杂感染的入院规避和早期出院方面的作用.
- 强调在OPAT中整合抗微生物管理 (AMS) 原则.
- 将OPAT的扩张与提供更接近家庭的医疗保健的国家战略保持一致.
主要方法:
- 在OPAT服务中利用组织良好的多学科团队.
- 在OPAT中实施早期口服治疗作为AMS的一部分.
- 管理OPAT服务以确保安全和有效性.
主要成果:
- OPAT为各种患者群体提供了避免入院和提前出院的便利.
- OPAT服务有效地嵌入了AMS原则,包括早期口腔治疗.
- 扩大OPAT与英国国家为成本效益高,以社区为基础的护理战略保持一致.
结论:
- 在医院环境之外,OPAT是管理复杂感染的关键服务.
- OPAT是门诊护理模式的典范,并支持AMS策略.
- OPAT服务是开发家庭医院和虚拟病房环境的组成部分.
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