Risk Factors Associated With Outpatient Parenteral Antibiotic Therapy Program Failure Among Intravenous Drug Users

被引:46
作者
Buehrle, Deanna J. [1 ]
Shields, Ryan K. [1 ]
Shah, Neel [1 ]
Shoff, Christopher [1 ]
Sheridan, Kathleen [1 ]
机构
[1] Univ Pittsburgh, Pittsburgh, PA 15260 USA
关键词
OPAT; IVDU; IVDA; outpatient antibiotics; ADVERSE EVENTS; HOSPITALIZATIONS; OPAT;
D O I
10.1093/ofid/ofx102
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Sixty-one percent of intravenous drug users (IVDUs) who received outpatient parenteral antibiotic therapy (OPAT) failed treatment. Hospital readmission and adverse drug reactions occurred in 25%. By multivariate analysis, time since last IVDU was associated with failure (P=.04). Intravenous drug users requiring OPAT are at high risk for failure; additional studies are needed to explore alternatives.
引用
收藏
页码:1 / 4
页数:4
相关论文
共 15 条
[1]  
[Anonymous], 2015, HHS PUBL
[2]   Clinical efficacy and cost-effectiveness of outpatient parenteral antibiotic therapy (OPAT): a UK perspective [J].
Chapman, Ann L. N. ;
Dixon, Simon ;
Andrews, Dawn ;
Lillie, Patrick J. ;
Bazaz, Rohit ;
Patchett, Julie D. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2009, 64 (06) :1316-1324
[3]   Nationwide increase in hospitalizations for heroin-related soft tissue infections: Associations with structural market conditions [J].
Ciccarone, Daniel ;
Unick, George Jay ;
Cohen, Jenny K. ;
Mars, Sarah G. ;
Rosenblum, Daniel .
DRUG AND ALCOHOL DEPENDENCE, 2016, 163 :126-133
[4]   Adverse drug reactions: definitions, diagnosis, and management [J].
Edwards, IR ;
Aronson, JK .
LANCET, 2000, 356 (9237) :1255-1259
[5]   Oral antibiotic therapy in infective endocarditis [J].
Fuller, RE ;
Hayward, SL .
ANNALS OF PHARMACOTHERAPY, 1996, 30 (06) :676-678
[6]   Safe and successful treatment of intravenous drug users with a peripherally inserted central catheter in an outpatient parenteral antibiotic treatment service [J].
Ho, Jennifer ;
Archuleta, Sophia ;
Sulaiman, Zuraidah ;
Fisher, Dale .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2010, 65 (12) :2641-2644
[7]  
Lai A, 2013, AM J MANAG CARE, V19
[8]   Hospitalizations Related To Opioid Abuse/Dependence And Associated Serious Infections Increased Sharply, 2002-12 [J].
Ronan, Matthew V. ;
Herzig, Shoshana J. .
HEALTH AFFAIRS, 2016, 35 (05) :832-837
[9]   Outcomes and Pharmacoeconomic Analysis of a Home Intravenous Antibiotic Infusion Program in Veterans [J].
Ruh, Christine A. ;
Parameswaran, Ganapathi I. ;
Wojciechowski, Amy L. ;
Mergenhagen, Kari A. .
CLINICAL THERAPEUTICS, 2015, 37 (11) :2527-2535
[10]   Factors associated with outcome and duration of therapy in outpatient parenteral antibiotic therapy (OPAT) patients with skin and soft-tissue infections [J].
Seaton, R. A. ;
Sharp, E. ;
Bezlyak, V. ;
Weir, C. J. .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2011, 38 (03) :243-248