Pertzborn Margaret, Rivera Christina G, Tai Don Bambino Geno
Department of Pharmacy, Mayo Clinic Health System, 1400 Bellinger Street, Eau Claire, WI 54702-1510, USA.
Department of Pharmacy, Mayo Clinic, Rochester, MN, USA.
Ther Adv Infect Dis. 2023 Aug 15;10:20499361231192771. doi: 10.1177/20499361231192771. eCollection 2023 Jan-Dec.
Antimicrobial therapy is an essential practice within medicine. Over the last 4 years, complex outpatient antimicrobial therapy (COpAT) with oral antimicrobials has become a rapidly developing area of practice and is non-inferior to outpatient parenteral antimicrobial therapy (OPAT) in certain infectious syndromes. Currently, the available literature does not describe the implementation of oral antimicrobials within the current outpatient antimicrobial therapy process. Throughout this article, the authors present a review of current literature, a proposed definition of COpAT and offer methods readers can utilize to implement an integrated COpAT/OPAT program with oral antimicrobial-specific monitoring within their current practice.
抗菌治疗是医学领域的一项重要实践。在过去4年里,使用口服抗菌药物的复杂门诊抗菌治疗(COpAT)已成为一个快速发展的实践领域,并且在某些感染综合征中并不逊色于门诊胃肠外抗菌治疗(OPAT)。目前,现有文献并未描述在当前门诊抗菌治疗过程中口服抗菌药物的应用情况。在本文中,作者对当前文献进行了综述,提出了COpAT的定义,并提供了读者可用于在其当前实践中实施一个整合了COpAT/OPAT项目并进行口服抗菌药物特异性监测的方法。