Outpatient parenteral antibiotic therapy in the management of community-acquired lower respiratory infections

被引:8
作者
Brown, RB [1 ]
机构
[1] Baystate Med Ctr, Div Infect Dis, Springfield, MA 01199 USA
[2] Tufts Univ, Sch Med, Dept Med, Boston, MA 02111 USA
关键词
D O I
10.1016/S0891-5520(05)70028-3
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Within the past several years, the decision to employ outpatient parenteral antibiotic therapy (OPAT) is driven by adequacy of insurance, availability of appropriate resources within the community, and the clinical stability of the patient. Current dogma is that virtually any diagnosed disease can be treated outside the hospital, provided the former criteria are met. The decision to utilize OPAT is complex and involves a number of decision points that relate to the patient, the disease and pathogen, the antibiotic, and the facilities available in the community. This article discusses the decision-making process to utilize OPAT or hospitalization for community-acquired lower respiratory infections.
引用
收藏
页码:921 / +
页数:14
相关论文
共 53 条
[1]  
BALINSKY W, 1989, AM J MED, V87, P301, DOI 10.1016/S0002-9343(89)80155-X
[2]   Susceptibility surveillance of US respiratory pathogen isolates to newer macrolide and azalide antibiotics [J].
Barry, S ;
Barry, AL ;
Burton, P .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 1996, 7 (01) :53-58
[3]   COMMUNITY-ACQUIRED PNEUMONIA [J].
BARTLETT, JG ;
MUNDY, LM .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (24) :1618-1624
[4]  
BARTLETT JG, 1996, INFECT DIS CLIN PRAC, V5, P147
[5]  
BARTLETT JG, 1992, INFECT DIS, P518
[6]   Clarithromycin and azithromycin [J].
Barza, M ;
Eisenberg, E .
INFECTIOUS DISEASES IN CLINICAL PRACTICE, 1996, 5 (05) :291-302
[7]   PREDICTING THE NEED FOR HOSPITALIZATION OF AMBULATORY PATIENTS WITH PNEUMONIA [J].
BLACK, ER ;
MUSHLIN, AI ;
GRINER, PF ;
SUCHMAN, AL ;
JAMES, RL ;
SCHOCH, DR .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1991, 6 (05) :394-400
[8]  
BROWN RB, 1991, REV INFECT DIS, V13, pS147
[9]  
BRYANT RE, 1995, PRINCIPLES PRACTICE, P637
[10]  
Chambers H.F., 1996, PHARMACOL BASIS THER, P1029