Home Intravenous Antibiotic Therapy: Practical Aspects in Children

Leaver, Judith; Radivan, F S; Patel, Leena; David, T J

doi:10.1177/014107689709031s06

Cited by 10 publications

(4 citation statements)

References 4 publications

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“…Home intravenous therapies have also proven helpful in other pediatric conditions such as immunodeficiency, blood-borne infections and cystic fibrosis. [15][16][17] Bourke and colleagues described the use of continuous prostaglandin therapy administered at home for 17 children with hypoplastic left heart syndrome awaiting heart transplantation. 18 In their series there were no deaths at home.…”

Section: Discussionmentioning

confidence: 99%

Home Inotropic Therapy in Children

Berg

Snell

Mahle

2007

The Journal of Heart and Lung Transplantation

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Section: Discussionmentioning

confidence: 99%

Home Inotropic Therapy in Children

Berg

Snell

Mahle

2007

The Journal of Heart and Lung Transplantation

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“…Failure to meet these criteria poses an increased risk of an adverse outcome Review at home and extremely careful consideration should be taken before accepting the patient for p-OPAT. 21 Decision making about the need to continue iv antibiotics should be based on antibiotic stewardship principles. 14 Table 5 outlines the various pathologies that can be considered for p-OPAT management.…”

Section: Patient Suitability For P-opatmentioning

confidence: 99%

Good practice recommendations for paediatric outpatient parenteral antibiotic therapy (p-OPAT) in the UK: a consensus statement

Patel

Abrahamson

Goldring

et al. 2014

Journal of Antimicrobial Chemotherapy

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There is compelling evidence to support the rationale for managing children on intravenous antimicrobial therapy at home whenever possible, including parent and patient satisfaction, psychological well-being, return to school/employment, reductions in healthcare-associated infection and cost savings. As a joint collaboration between the BSAC and the British Paediatric Allergy, Immunity and Infection Group, we have developed good practice recommendations to highlight good clinical practice and governance within paediatric outpatient parenteral antibiotic therapy (p-OPAT) services across the UK. These guidelines provide a practical approach for safely delivering a p-OPAT service in both secondary care and tertiary care settings, in terms of the roles and responsibilities of members of the p-OPAT team, the structure required to deliver the service, identifying patients and pathologies that are suitable for p-OPAT, ensuring appropriate vascular access, antimicrobial choice and delivery and the clinical governance aspects of delivering a p-OPAT service. The process of writing a business case to support the introduction of a p-OPAT service is also addressed.

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“…Some problems are unique to children, such as Munchausen syndrome by proxy. Literature on OPAT specific to children is not as extensive as literature on the outpatient treatment of adults, but a number of articles on pediatric therapy and complications have been written for communityacquired infections, meningitis, fever and neutropenia, and cystic fibrosis [130,141,145,[152][153][154][155][156][157][158][159][160][161][162][163][164][165][166][167][168].…”

Section: Considerations For Pediatric Patientsmentioning

confidence: 99%

Practice Guidelines for Outpatient Parenteral Antimicrobial Therapy

Tice

Rehm

Dalovisio

et al. 2004

Journal of Infusion Nursing

124

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EXECUTIVE SUMMARYThese guidelines were formulated to assist physicians and other health care professionals with various aspects of the administration of outpatient parenteral antimicrobial therapy (OPAT). Although there are many reassuring retrospective studies on the efficacy and safety of OPAT, few prospective studies have been conducted to compare the risks and outcomes for patients who receive treatment as outpatients rather than as inpatients. Because truly evidence-based studies are lacking, the present guidelines are formulated from the collective experience of the committee members and advisors from related organizations.Important aspects of OPAT are described in the text and tables and include the following:1. The literature supports the effectiveness of OPAT for a wide variety of infections (table 1 and the Appendix).2. A thorough assessment of the patient's general medical condition, the infectious process, and the home situation is necessary before starting therapy (table 2) 3. Prescribing physicians should be aware of a number of aspects of OPAT which distinguish it from

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Home Intravenous Antibiotic Therapy: Practical Aspects in Children

Cited by 10 publications

References 4 publications

Home Inotropic Therapy in Children

Home Inotropic Therapy in Children

Good practice recommendations for paediatric outpatient parenteral antibiotic therapy (p-OPAT) in the UK: a consensus statement

Practice Guidelines for Outpatient Parenteral Antimicrobial Therapy

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