Quality-of-Life Assessment in an Outpatient Parenteral Antibiotic Program

Goodfellow, Alan F; Wai, Amy O; Frighetto, Luciana; Marra, Carlo A.; Ferreira, Barbara M; Chase, Margaret; Nicol, Ruth E; Leong, Carole A; Tomlinson, Sally; Jewesson, Peter J.

doi:10.1345/aph.1c153

Cited by 55 publications

(23 citation statements)

References 16 publications

(6 reference statements)

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“…OPAT offers a number of advantages to both patients and healthcare delivery systems; it has been shown to be safe, effective and cost-saving to the healthcare system [2–5]. Patients’ psychological and physical recovery has been shown to be hastened when they are discharged to their home environment [6] and OPAT has been consistently reported to be associated with high patient satisfaction [3, 7, 8]. …”

Section: Introductionmentioning

confidence: 99%

Outpatient parenteral antimicrobial therapy (OPAT) in the republic of Ireland: results of a national survey

Muldoon

Allison

Gallagher

et al. 2013

Eur J Clin Microbiol Infect Dis

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Outpatient parenteral antimicrobial therapy (OPAT) services are not well developed in the Republic of Ireland. A national programme is being instituted to standardise care. This survey aims to assess the current use of outpatient intravenous antibiotics and to quantify the needs that physicians identify in the development of a national programme. General medical consultant physicians and clinical microbiology consultants were contacted through the Royal College of Physicians of Ireland (RCPI) from April to June 2012. Data were analysed using SPSS version 20. A total of 512 physicians were contacted, of which 55 (10.7 %) responded. The majority, 38/55 (69 %), practice general internal medicine in combination with a medical specialty, 2 (4 %) general internal medicine alone, 8 (15 %) clinical microbiology and 7 (13 %) a medical specialty alone. Of those practising a medical specialty, 12 (27 %) practice infectious diseases. Seventy-four percent reported having discharged patients with intravenous antibiotics; however, 47 % did not have a designated service available. Of those with no service, 100 % identified a need for these resources. Of those responsible for an OPAT service, 56 % had not audited their service. The most common indications were skin and soft tissue infections, osteomyelitis and respiratory tract infection. Flucloxacillin was the most commonly reported antibiotic. Eleven percent responded that they never monitor laboratory studies for patients discharged with intravenous antibiotics. While OPAT services in Ireland are not well developed, patients are being discharged with intravenous antibiotics. This survey underscores the need to develop the national programme to standardise care and ensure patients receive safe and efficient therapy.

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Section: Introductionmentioning

confidence: 99%

Outpatient parenteral antimicrobial therapy (OPAT) in the republic of Ireland: results of a national survey

Muldoon

Allison

Gallagher

et al. 2013

Eur J Clin Microbiol Infect Dis

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“…Our study considered all eight Picker principles of patient-centred care through a qualitative approach, which provides a more holistic view of patient experiences than previous quality of life studies. 18 …”

Section: Discussionmentioning

confidence: 99%

Quality of outpatient parenteral antimicrobial therapy (OPAT) care from the patient’s perspective: a qualitative study

Berrevoets

Oerlemans²,

Tromp

et al. 2018

BMJ Open

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ObjectivesCurrent outpatient parenteral antimicrobial therapy (OPAT) guidelines recommend delivering patient-centred care. However, little is known about what patients define as good quality of OPAT care and what their needs and preferences are.The aim of this qualitative study is to explore the patients’ perspective on high-quality care, and to explore what patient-centred care means to adult OPAT patients.Design and settingThis is an explorative, descriptive study using qualitative methods. We conducted focus group interviews with 16 adult patients (5 female, 11 male) from 3 different hospitals, who received OPAT and 2 individual semistructured interviews with their informal caregivers in the Netherlands. We used purposive sampling to ensure diversity of participants. We used the eight Picker principles of patient-centredness to guide data collection and analysis.ResultsParticipants reported several elements considered as important for patient-centred OPAT care, like patient involvement in the decision-making process, a responsible OPAT lead, intensive collaboration between all disciplines involved, information provision and adherence to hygiene guidelines. Two central dimensions emerged as essential constituents of patient-centred OPAT care: freedom and safety. Both are heavily influenced by the behaviours of healthcare professionals and by organisational aspects beyond the direct influence of these professionals.ConclusionThis study provides insights into the needs and preferences of adult patients who receive OPAT care. Future interventions directed at the improvement of patient-centredness of OPAT care should focus on elements that enhance patients’ feelings of freedom and safety.

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“…Lower PCS-12 scores have also been reported in conditions commonly requiring OPAT, such as diabetic foot osteomyelitis [ 7 ], orthopedic device–related infections [ 8 ], septic failure of revision total knee arthroplasty [ 9 ], and infected total hip arthroplasty [ 10 ]. In addition, in a Canadian study of OPAT patients in the late 1990s, OPAT patients had a HRQoL score lower than the Canadian mean [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Studies of OPAT, particularly those evaluating its cost-effectiveness, would benefit from an understanding of the patient’s health-related quality of life (HRQoL). One study looked at changes in HRQoL among Canadian OPAT patients in the late 1990s [ 2 ]; however, no study has looked at HRQoL in an American population of OPAT patients. We employed a patient-reported HRQoL tool, the short-form-12 (SF-12) [ 3 ], to determine HRQoL in OPAT patients and the risk factors for lower SF-12 scores (indicative of poorer health).…”

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confidence: 99%

Health-Related Quality of Life in Outpatient Parenteral Antimicrobial Therapy

Keller

Williams²,

Levering

et al. 2018

Open Forum Infectious Diseases

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Quality-of-Life Assessment in an Outpatient Parenteral Antibiotic Program

Abstract: This study reveals that some domains in HRQoL appear to improve 4 weeks after discharge for adults enrolled in an OPAT program and that there are different predictors for changes in physical and mental health.

Cited by 55 publications

References 16 publications

Outpatient parenteral antimicrobial therapy (OPAT) in the republic of Ireland: results of a national survey

Outpatient parenteral antimicrobial therapy (OPAT) in the republic of Ireland: results of a national survey

Quality of outpatient parenteral antimicrobial therapy (OPAT) care from the patient’s perspective: a qualitative study

Health-Related Quality of Life in Outpatient Parenteral Antimicrobial Therapy

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