Authors (including presenting author) :
CHAN YF(1), PUN KF(1), LEE WM(1)
Affiliation :
(1) Hospital Authority Infectious Disease Centre
Introduction :
Outpatient intravenous antimicrobial therapy (OPAT) is an increasingly used means of treating patients who need long courses of intravenous antibiotics but medically stable and no longer require inpatient care. OPAT was first begun in 1974 for the treatment of paediatric patients with cystic fibrosis in the US. Infectious Disease Centre (IDC) has started the OPAT service since January 2013 but the service scope was mainly for adult patient and rare in paediatric patient.
Objectives :
• Reduce nosocomial infections due to hospital stay
• Save of hospital cost through enhance the efficiency of inpatient bed usage
• Enhance paediatric patient compliance to long term medical treatment and quality of life
• Enhance teamwork among clinicians, nursing staffs and pharmacists through collaboration in managing the treatment process
• Advanced nurse’s knowledge and skills in central vascular access care, wound management and dressing technique.
Methodology :
case presentation
Result & Outcome :
OPAT service benefits paediatric patient to maintain normal daily life activities, such as go to school, social activity and stay with family, and facilitated patient treatment compliance. In March of 2018, the first paediatric patient who diagnosed as Mycobacterium Abscessus was recruited for OPAT and completed the antimicrobial therapy with positive clinical and economic benefits as well as high patient satisfaction.