This is helpful, opening up a new drug (tigecycline) to be put into elastomeric devices for patients that need #OPAT #IDSky #ClinMicro #AMR @jac-amr.bsky.social academic.oup.com/jac...

🥐 První máj u nás není o projevech.
Je o croissantu s jahodou, stínu stromu a chvíli, která nečeká na lajky.
Ale pokud nechceš jíst dort ve stoje – doporučujeme rezervaci.
Tetris má bejt na Game Boy, ne v restauraci.

📅 1.–4. května
🕒 Čt–So 11:00–18:00 | Ne 11:00–17:00

#bischofstein #ticho #jahodanavrcholu #časeměříšklidem #1máj #volkafe #broumovsko #kladskepomezi #opat

OPAT saves money vs inpatient stay. Oral antibiotics clearly would be cheaper operationally, but not always an option #OPAT #IDSky #ClinMicro #AMR @jac-amr.bsky.social academic.oup.com/jacamr/artic...

Quantifying cost savings from ...

Important study to know about if you run an #OPAT service! Standard PICC lines are fine. Key question remains: do you need to put / keep one in at all? #IDSky #ClinMicro

RE: https://bsky.app/profile/did:plc:mgwrki6irihfcatu2v347soc/post/3lfhu4mmyqc2l

Potential delivery of some antibiotics too? Clearly there may be some significant issues with volume of fluid to be delivered subcutaneously! #OPAT #IDSky #clinmicro #AMR

RE: https://bsky.app/profile/did:plc:vqgovau5gkirnk3ss5qwjdmz/post/3ldll4ixt7s2q

Cool - use of programmable digital infusion pump to deliver multiple doses of wide range of antibiotics via #OPAT for varying indications. 21% hospital 30-day readmission rate (36/170) tho. Split batches for some Abx (benpen & amox) #IDSky #clinmicro academic.oup.com/jacamr/artic...

RE: https://bsky.app/profile/did:plc:sk7yzhdafxjlcfwxk5rm3lfc/post/3lcnisewvvi2b

Five years ago today.... the empty OPAT bay waiting for our very first patient to arrive.

Nearly 11,000 infusions later, and two changes of location, I'm feeling pretty darned pleased about what we've achieved.

#OPAT #nhs

To celebrate, I'll drop some #OPAT info today, in between work calls.

Firstly, OPAT is a great example of patient centred care. Patients almost universally prefer to be in their own homes (no late night emergencies, no unfamiliar beds, no hospital food).

It helps with rehabilitation & avoids loss of activity and confidence that goes with admission for prolonged periods (some of our patients attend daily for several weeks). Working patients can often fit appointments around their work schedule.

Well, we just passed a significant milestone in our #OPAT clinic.

(OPAT = Outpatient Parenteral Antimicrobial Therapy. It's a 7 day service that allows patients who need intravenous antibiotics to be at home rather than in hospital and to attend clinic once daily for treatment. Patients prefer it because they get to be at home, and we can free up acute beds).

We started in November 2019. Remember, when we had just heard about Wuhan...?

Today, we have delivered infusion number 10,000!

#Introduction time again, having moved instance.

Hi! I'm David, and I work in #Scotland (Kingdom of Fife) as an #NHS doctor specialising in #Microbiology and Infectious Diseases.

I have an interest in antimicrobial resistance (#AMR) and antibiotic stewardship, and I run our local #OPAT service, where we deliver daily IV antibiotics to patients otherwise well enough to be at home.

Just had our busiest ever week in the outpatient antibiotic clinic (OPAT).

73 treatments delivered, saving an equivalent number of bed days.

That's an average of over 10 patients per day who can be at home with their families, even go to work in some cases, but more generally just get well in their own environment.

It's equivalent to half-emptying a ward for the week.

Plus, our service is about £500 / day cheaper than inpatient care, so we just saved the NHS about £36,000.

#OPAT #NHS

At work again. This is the life I chose etc etc. Still, 12 people in the #OPAT clinic this morning means I'm keeping half a ward of patients out of the hospital, which feels nice.

@macesari thank you for sharing this. We have a growing Hospital at Home service. It is great, but it needs to be properly managed and have great communication (& people) to avoid anyone feeling like they are practicing less safe medicine. As the paper says, safety-nets are key. At multiple levels! #medicine #elderly #OPAT #HospitalAtHome

OPAT that does itself?
Continuous infusion devices like elastomerics...
#OPAT #IDMastodon

https://www.tandfonline.com/doi/full/10.1080/14787210.2023.2184347

Decision to use OPAT services should be led by clinical need / utility.

In a way this study is reassuring that financial advantages were not a big driver of its use. At least in this setting 🇨🇦

#IDMastodon #MedMastodon #AMR #antibiotics #microbiology #OPAT

Physician financial incentives for use of outpatient intravenous antimicrobial therapy (OPAT): an interrupted time series analysis

https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciad082/7043202