دورية أكاديمية
[Outpatient Parenteral Antimicrobial Therapy (OPAT) with Elastomeric Pumps in Collaboration with Home-visit Nursing Services in Japan: Experience of the First 10 Patients].
| العنوان: | [Outpatient Parenteral Antimicrobial Therapy (OPAT) with Elastomeric Pumps in Collaboration with Home-visit Nursing Services in Japan: Experience of the First 10 Patients]. |
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| المؤلفون: | Hase R, Uno S, Miyoshi K, Fujita K, Suzuki H, Suzuki D, Mikawa T, Muranaka K, Hosokawa N |
| المصدر: | Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases [Kansenshogaku Zasshi] 2015 Sep; Vol. 89 (5), pp. 567-73. |
| نوع المنشور: | Journal Article |
| اللغة: | Japanese |
| بيانات الدورية: | Publisher: Nihon Densenbyō Gakkai Country of Publication: Japan NLM ID: 0236671 Publication Model: Print Cited Medium: Print ISSN: 0387-5911 (Print) Linking ISSN: 03875911 NLM ISO Abbreviation: Kansenshogaku Zasshi Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Tōkyō, Nihon Densenbyō Gakkai. |
| مواضيع طبية MeSH: | Home Care Services* , Outpatients*, Anti-Infective Agents/*therapeutic use, Aged ; Aged, 80 and over ; Anti-Infective Agents/administration & dosage ; Elastomers ; Humans ; Infusion Pumps ; Infusions, Intravenous ; Japan ; Male ; Middle Aged ; Polymers |
| مستخلص: | In 2014, we reported the first trial based on outpatient parenteral antimicrobial therapy (OPAT) with continuous infusions in Japan. Following this, we found many patients who were eligible for OPAT but could not undertake it owing to difficulties in accessing the clinic daily. To overcome this problem, we created a model in collaboration with visiting nursing stations and started providing OPAT with the services. We report herein on a summary of the investigation of the first 10 patients treated under this model. We collected data pertaining to diseases, organisms, antimicrobials, treatment duration, bed days saved, outcome, readmission rate, and cost reductions associated with these patients. The most commonly targeted disease was osteomyelitis, followed by infective endocarditis. The condition of nine of the patients was complicated by bacteremia. The most commonly targeted organism was Staphylococcus aureus. Cefazolin was the most frequently prescribed antimicrobial, followed by Penicillin G. The median duration for OPAT was 12 days (range: 5-23 days). The total number of bed days saved was 129. All patients completed the planned OPAT. Eight patients were cured and two showed improvement. Only one patient was readmitted within a month after the completion of therapy. The estimated medical cost reduction was 496,540 yen, which is approximately 4,200 US dollars. Collaboration with visiting nursing stations provided OPAT to the patients who had difficulties in accessing the clinic daily. Our study shows that OPAT administered by continuous infusion in collaboration with home-visit nursing services would be a safe and feasible practice for efficient bed utilization and medical cost saving. |
| المشرفين على المادة: | 0 (Anti-Infective Agents) 0 (Elastomers) 0 (Polymers) 0 (elastomeric polymer) |
| تواريخ الأحداث: | Date Created: 20151204 Date Completed: 20160415 Latest Revision: 20191210 |
| رمز التحديث: | 20231215 |
| DOI: | 10.11150/kansenshogakuzasshi.89.567 |
| PMID: | 26630787 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0387-5911 |
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| DOI: | 10.11150/kansenshogakuzasshi.89.567 |