Are We Ready for an Outpatient Parenteral Antimicrobial Therapy Bundle? A Critical Appraisal of the Evidence

被引：57

作者：

Muldoon, Eavan G. ^{[1
]}

Snydman, David R. ^{[1
]}

Penland, Elizabeth C. ^{[1
]}

Allison, Geneve M. ^{[1
]}

机构：

[1] Tufts Med Ctr, Div Geog Med & Infect Dis, Boston, MA 02111 USA

来源：

CLINICAL INFECTIOUS DISEASES | 2013年 / 57卷 / 03期

基金：

美国国家卫生研究院;

关键词：

OPAT (outpatient parenteral antimicrobial therapy); bundle; quality improvement; patient safety; hospital readmissions; STAPHYLOCOCCUS-AUREUS BACTEREMIA; INFECTIOUS-DISEASE CONSULTATION; ANTIBIOTIC-THERAPY; PATIENT EDUCATION; SERVICE CONSULTATION; INFUSION THERAPY; EARLY DISCHARGE; MANAGEMENT; HOME; IMPACT;

D O I：

10.1093/cid/cit211

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Healthcare "bundles" have been developed to help providers improve the reliability and delivery of essential healthcare processes. Bundles have been shown to be effective in reducing healthcare-associated infection rates and are increasingly used to ensure the quality of patient care. Outpatient parenteral antimicrobial therapy (OPAT) is now standard medical practice in the treatment of a wide variety of infections. We review 6 components that we believe comprise an OPAT bundle and the evidence supporting each: patient selection, infectious disease consultation, patient/caregiver education, discharge planning, outpatient monitoring/tracking, and OPAT program review. To ensure that patients are receiving optimal care, further program development and outcomes research should target these bundle components to bring the evidence base up to date with current medical practices.

引用

页码：419 / 424

页数：6

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