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门诊胃肠外抗生素治疗(OPAT)的新进展

[New developments in outpatient parenteral antibiotic therapy (OPAT)].

作者信息

Terhalle Elena, Jung Norma, Stegemann Miriam Songa, Priesner Vanessa, Lehmann Clara, Schmiedel Stefan

出版信息

Dtsch Med Wochenschr. 2020 Nov;145(23):1688-1694. doi: 10.1055/a-1114-3990. Epub 2020 Nov 17.

Abstract

Long term intravenous antibiotic therapy is required for the treatment of selected infections. Outpatient parenteral antibiotic therapy (OPAT) allows patients who require intravenous treatment to be treated outside of the hospital with equal efficacy and safety as in-hospital; prolonged intravenous antibiotic therapy is required for the treatment of selected infections. OPAT is particularly beneficial for patients. Staying at home and resuming everyday life lead to significantly higher patient satisfaction and quality of life. Furthermore, the risk of nosocomial infections can be reduced, especially through multi-resistant pathogens. Outpatient prescriptions shorten the inpatient length of stay and costs can be saved. Additionally the reception capacities of hospitals will be increased.

摘要

某些感染的治疗需要长期静脉抗生素治疗。门诊胃肠外抗生素治疗(OPAT)使需要静脉治疗的患者能够在院外接受治疗,其疗效和安全性与住院治疗相当;某些感染的治疗需要延长静脉抗生素治疗时间。OPAT对患者特别有益。居家并恢复日常生活能显著提高患者满意度和生活质量。此外,医院感染的风险可以降低,尤其是通过多重耐药病原体感染。门诊处方缩短了住院时间并能节省费用。此外,还将提高医院的接待能力。

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