Management of Outpatient Parenteral Antimicrobial Therapy
Publication Date: November 12, 2018
Last Updated: December 15, 2022
Treatment
Patient Considerations
Patients (or their caregivers) should be allowed to self-administer OPAT. ( S , L)
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Patients (or their caregivers) may be allowed to self-administer OPAT at home without visiting nurse support as long as there is a system in place for effective monitoring for vascular access complications and antimicrobial adverse events. ( W , L)
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No recommendation can be made about whether PWID may be treated with OPAT at home. (, L)
Decisions should be made on a case by case basis.
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Elderly patients should be allowed to be treated with OPAT at home. ( S , L)
This recommendation assumes that potential challenges to OPAT in the elderly, such as cognition, mobility, dexterity, have been duly considered, and that the patient or caregiver is able to communicate with the treatment team if necessary.
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No recommendation can be made regarding whether infants <1 month old may be treated with OPAT at home. (, VL)
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Title
Management of Outpatient Parenteral Antimicrobial Therapy
Authoring Organization
Infectious Diseases Society of America