Buehrle Deanna J, Shields Ryan K, Shah Neel, Shoff Christopher, Sheridan Kathleen
University of Pittsburgh, Pennsylvania.
Open Forum Infect Dis. 2017 May 23;4(3):ofx102. doi: 10.1093/ofid/ofx102. eCollection 2017 Summer.
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 ( = .04). Intravenous drug users requiring OPAT are at high risk for failure; additional studies are needed to explore alternatives.
接受门诊胃肠外抗生素治疗(OPAT)的静脉注射吸毒者(IVDUs)中有61%治疗失败。25%的患者出现医院再入院和药物不良反应。多因素分析显示,距上次静脉注射吸毒的时间与治疗失败相关(P = .04)。需要接受OPAT的静脉注射吸毒者治疗失败风险很高;需要开展更多研究来探索替代方案。