Out-Patient Antimicrobial

therapy (OPAT)

Pat EvansPatient Flow Manager

ULHG30th September 2015

 

Outpatient Parenteral Antimicrobial Therapy

Long history of OPAT in UHL National OPAT program UHL : July 8 2013 Improved antimicrobial stewardship Compliance with National and International

guidance   Standardized and Auditable processes Single governance structure

OPAT Process

• Identify patient •Contact OPAT Nurse (Patient Flow)•OPAT nurse consults ID •CIT Contacted – ongoing

Communication •OPAT referral Nationally• IV access/ PICC Line •Antimicrobials sourced/ Review visit

arranged

Cellulitis (h-OPAT with CIT)

Cefazolin 2g od iv PLUS probenocid 1g od po if no renal impairment ! Cefazolin 2g bd if probenocid not tolerated

Review within 4 days !

CIT/OPAT 2014

Patients

Days on OPAT

Mean days in service

Bed days saved

No of patients readmitted

           

Limerick 66 919 13.9 919 5           Clare 36 551 15.3 551 5           Tipperary 20 414 20.7 414 2           Total 122 1884 15.4 1884 12

           OPAT % readmission

         9.8%

Thank youPatrick.evans@hse.

ie