López Cortés Luis Eduardo, Mujal Martínez Abel, Fernández Martínez de Mandojana Magdalena, Martín Natalia, Gil Bermejo Mercè, Solà Aznar Joan, Villegas Bruguera Eulalia, Peláez Cantero Maria José, Retamar Gentil Pilar, Delgado Vicente Miriam, González-Ramallo Víctor José, Ponce González Miguel Ángel, Mirón Rubio Manuel, Gómez Rodríguez de Mendarozqueta M Montserrat, Goenaga Sánchez Miguel Ángel, Sanroma Mendizábal Pedro, Delgado Mejía Elena, Pajarón Guerrero Marcos
Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena/Instituto de Biomedicina de Sevilla (IBiS)/Universidad de Sevilla/Centro Superior de Investigaciones Científicas, Seville, Spain.
Home Hospital Unit, Department of Internal Medicine, Sabadell Hospital, Corporació Sanitària Parc Taulí, Universitat Autònoma de Barcelona, Spain.
Enferm Infecc Microbiol Clin (Engl Ed). 2019 Jun-Jul;37(6):405-409. doi: 10.1016/j.eimc.2018.03.012. Epub 2018 May 18.
Outpatient parenteral antimicrobial therapy (OPAT) programmes make it possible to start or complete intravenous antimicrobial therapy for practically any type of infection at home, provided that patient selection is appropriate for the type of OPAT programme available. Although the clinical management of infections in the home setting is comparable in many respects to that offered in conventional hospitalization (selection of antibiotics, duration of treatment, etc.), there are many aspects that are specific to this care modality. It is essential to be aware of them so that OPAT continues to be as safe and effective as inpatient care. The objective of this clinical guideline is therefore to provide evidence- and expert-based recommendations with a view to standardizing clinical practice in this care modality and contribute to a progressive increase in the number of patients who can be cared for and receive intravenous therapy in their own homes.
门诊胃肠外抗菌治疗(OPAT)项目使在家中开始或完成几乎任何类型感染的静脉抗菌治疗成为可能,前提是患者选择适合现有的OPAT项目类型。尽管在家中对感染的临床管理在许多方面与传统住院治疗相似(抗生素选择、治疗持续时间等),但这种护理方式有许多特定的方面。必须了解这些方面,以便OPAT能继续保持与住院护理一样安全有效。因此,本临床指南的目的是提供基于证据和专家意见的建议,以规范这种护理方式的临床实践,并有助于逐步增加能够在家中接受护理和静脉治疗的患者数量。