Fernández-Polo Aurora, Ramon-Cortes Sonia, Plaja-Dorca Judith, Bartolomé-Comas Rosa, Vidal-Valdivia Lis, Soler-Palacín Pere
Servicio de Farmacia, Hospital Infantil, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain.
Enferm Infecc Microbiol Clin (Engl Ed). 2023 Apr;41(4):230-234. doi: 10.1016/j.eimce.2022.08.004. Epub 2022 Aug 10.
Outpatient parenteral antimicrobial treatment (OPAT) is an alternative to in-patient care in carefully selected patients. This study presents a self-administration OPAT program integrated within the pediatric antibiotic stewardship program (ASP) in a pediatric tertiary care center.
Descriptive, retrospective and unicentric study. Data from all patients under 20 years of age who were prescribed treatment by a pediatric unit during 2019 and 2020 were included. Data regarding number of saved beds and estimating the opportunity cost of the OPAT program for the hospital were analyzed.
Fifty-seven patients received 106 episodes of treatment. Favorable clinical outcome occurred in 74.5% of the episodes. The main cause of premature interruption was unfavorable clinical outcome of the infection (37.1%). A total of 2.62 beds/day were saved, resulting in an economic benefit of 1,069,963 €.
A self-administration OPAT program integrated within the pediatric ASP has proven to be safe and effective and provides economic benefits.
对于经过精心挑选的患者，门诊胃肠外抗菌治疗（OPAT）是住院治疗的一种替代方案。本研究介绍了在一家儿科三级护理中心的儿科抗生素管理计划（ASP）中纳入的一项自我管理OPAT计划。
描述性、回顾性单中心研究。纳入了2019年至2020年期间由儿科病房开出处方进行治疗的所有20岁以下患者的数据。分析了节省的病床数量以及估算该OPAT计划对医院的机会成本的数据。
57名患者接受了106次治疗。74.5%的治疗取得了良好的临床结果。提前中断治疗的主要原因是感染的临床结果不佳（37.1%）。总共节省了2.62个床位/天，产生了1,069,963欧元的经济效益。
已证明纳入儿科ASP的自我管理OPAT计划是安全有效的，并具有经济效益。
