National guidelines on the provision of outpatient parenteral antimicrobial therapy (OPAT)
Outpatient parenteral antimicrobial therapy (OPAT) is an option in patients who require parenteral antimicrobial administration and are clinically well enough for hospital discharge. This is an update of the Irish National OPAT guidelines which were last reviewed in 2011.
The guideline was devised through a collaborative process with the national OPAT Working Group and a review of the literature. It is intended for clinicians who prescribe any intravenous (IV) antimicrobials outside of the inpatient setting in the Republic of Ireland.
Patient care while on OPAT should be provided by a designated OPAT service, with clear managerial and clinical governance lines of responsibility. It should be conducted using a team approach with a clinical lead on each site either as an infection specialist, or a general medical physician with infection specialist input and an OPAT nurse. An antimicrobial pharmacist is also desirable. Several factors must be considered when assessing patient’s suitability for OPAT including exclusion criteria, infection-specific factors, and patient specific factors such as physical, social and logistic criteria.
This updated guideline advocates a more individualised OPAT approach, with the recognition that specific antimicrobials and/or specific delivery models may be more appropriate for certain patient groups. Full guidelines are available through www.opat.ie.
CommentsThe original article is available at imj.ie
Published CitationSweeney E. et al. National guidelines on the provision of outpatient parenteral antimicrobial therapy (OPAT). Ir Med J. 2020;113(7):123.
Publication Date30 July 2020
- Beaumont Hospital
- Clinical Microbiology
- International Health and Tropical Medicine
PublisherIrish Medical Association
- Published Version (Version of Record)