Bernts Lucas H P, Lemkes Bregtje A, Sigaloff Kim C E
Radboudumc, afd. Medische Microbiologie, Nijmegen.
Amsterdam UMC, afd. Infectieziekten, Amsterdam.
Ned Tijdschr Geneeskd. 2023 Mar 8;167:D7149.
Treatment of infections with intravenous antibiotics does not always require hospital care; specialized home care nurses can administer parenteral treatment at home. Dedicated Outpatient Parenteral Antimicrobial Therapy (OPAT) teams are emerging in an increasing number of hospitals in the Netherlands to supervise treatment selection and provide safety monitoring for patients with home treatment. This specialized, nurse driven team facilitates home treatment by collaborating with infectious disease specialists, pharmacy and home care teams, as well as the patient and treating physician. Demand for OPAT treatment is increasing, but currently a structural financial endorsement is lacking in the Netherlands. A solid financial structure will be essential to ensure safe and effective parenteral antimicrobial therapy at home, which can relieve the strain on hospital care.
静脉注射抗生素治疗感染并不总是需要住院治疗；专业的家庭护理护士可以在家中进行肠胃外治疗。荷兰越来越多的医院正在组建专门的门诊肠胃外抗菌治疗（OPAT）团队，以监督治疗方案的选择，并为接受居家治疗的患者提供安全监测。这个由护士主导的专业团队通过与传染病专家、药房、家庭护理团队以及患者和主治医生合作，推动居家治疗。对OPAT治疗的需求在增加，但目前荷兰缺乏结构性的财政支持。稳固的财政结构对于确保在家中进行安全有效的肠胃外抗菌治疗至关重要，这可以减轻医院护理的压力。
