OPAT Specialist Nurse, OPAT Service, Department of Infection and HIV Medicine, University Hospitals of Leicester NHS Trust.
OPAT Specialist Sister, OPAT Service, Department of Infection and HIV Medicine, University Hospitals of Leicester NHS Trust.
Br J Nurs. 2021 Jan 28;30(2):S4-S10. doi: 10.12968/bjon.2021.30.2.S4.
The University Hospitals of Leicester NHS Trust outpatient parenteral antimicrobial therapy (OPAT) service has expanded rapidly with more nurse-led direction.
A retrospective study between 1 July 2014 and 31 December 2019 was undertaken to assess the impact of OPAT expansion on beds released for further utilisation, clinical outcomes, adverse vascular access device (VAD) outcome, and self- and family-administered parenteral antimicrobial therapy.
Data were extracted from the OPAT Patient Management System and from a patient questionnaire survey.
1084 completed patient episodes were recorded in 958 patients, rising from 39 episodes in 2014 to 265 in 2019. The number of beds released for further utilisation correspondingly rose from 828 in 2014 to 8462 in 2019. The proportion of patients/family members trained to self-administer rose from 25% to 75%, with clinical cure/improvement of infection remaining high at between 84.6% and 92.8% of patients annually. Serious adverse VAD events remained low throughout. The patient response was generally positive.
Nurse empowerment within OPAT can lead to significant improvements and patient benefits, while maintaining clinical outcomes.
莱斯特大学医院国民保健制度信托基金的门诊肠外抗菌治疗（OPAT）服务迅速扩大，更多地由护士主导。
对 2014 年 7 月 1 日至 2019 年 12 月 31 日期间进行的回顾性研究，以评估 OPAT 扩展对进一步利用的床位释放、临床结果、不良血管通路装置（VAD）结果以及自我和家庭管理的肠外抗菌治疗的影响。
从 OPAT 患者管理系统和患者问卷调查中提取数据。
在 958 名患者中记录了 1084 个完整的患者疗程，从 2014 年的 39 个疗程增加到 2019 年的 265 个疗程。可进一步利用的床位数量相应增加，从 2014 年的 828 张增加到 2019 年的 8462 张。接受自我管理培训的患者/家属比例从 25%上升到 75%，每年患者的临床治愈率/改善率仍保持在 84.6%至 92.8%之间。严重的 VAD 不良事件始终保持低水平。患者的反应普遍是积极的。
OPAT 中的护士赋权可以带来显著的改善和患者获益，同时保持临床结果。
