Outpatient Parenteral Antimicrobial Therapy Practices Among Pediatric Infectious Diseases Consultants: Results of an Emerging Infections Network Survey.

@article{Banerjee2014OutpatientPA,
  title={Outpatient Parenteral Antimicrobial Therapy Practices Among Pediatric Infectious Diseases Consultants: Results of an Emerging Infections Network Survey.},
  author={Ritu Banerjee and Susan E. Beekmann and Elizabeth H. Doby and Philip M. Polgreen and Mobeen H Rathore and Adam L. Hersh},
  journal={Journal of the Pediatric Infectious Diseases Society},
  year={2014},
  volume={3 1},
  pages={
          85-8
        }
}
We conducted a survey of pediatric members of the Emerging Infections Network regarding outpatient parenteral antimicrobial therapy (OPAT) practices and clinical decision making about OPAT initiation. We identified substantial variation in characteristics and resources of pediatric OPAT practices. Opportunities to improve oversight of OPAT in children should be explored. 
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15 Citations
Background Citations
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Results Citations
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15 Citations

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Citation Type

Practice Patterns of Providers for the Management ofStaphylococcus aureus Bacteremia in Children: Results of an Emerging Infections Network Survey
TLDR
There is significant practice variation in the management of children with Staphylococcus aureus bacteremia and the need for further research to guide best practices is emphasized.
2018 Infectious Diseases Society of America Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy.
  • A. Norris, N. Shrestha, +13 authors C. Umscheid
  • Medicine
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2019
TLDR
This guideline is intended to provide insight for healthcare professionals who prescribe and oversee the provision of OPAT and considers various patient features, infusion catheter issues, monitoring questions, and antimicrobial stewardship concerns.
Outpatient Parenteral Antimicrobial Therapy in Pediatrics: An Opportunity to Expand Antimicrobial Stewardship
TLDR
Outpatient parenteral antimicrobial therapy was modifiable or unnecessary at a large tertiary care children’s hospital and at least one modification definitely or possibly would have been recommended for 78% of episodes.
2018 Infectious Diseases Society of America Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy.
  • A. Norris, N. Shrestha, +13 authors C. Umscheid
  • Medicine
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2019
TLDR
This guideline is intended to provide insight for healthcare professionals who prescribe and oversee the provision of OPAT and considers various patient features, infusion catheter issues, monitoring questions, and antimicrobial stewardship concerns.
Diagnosis and Management of Clostridium difficile Infection by Pediatric Infectious Diseases Physicians.
TLDR
Pediatric ID physicians prefer metronidazole for treatment of mild CDI in healthy children, but management strategies vary for patients with comorbidities or recurrent or severe disease, which highlights the need for pediatric comparative effectiveness studies.
Pediatric Antimicrobial Stewardship: State of the Art
TLDR
This review contributes to the growing body of evidence that supports the use of pediatric ASPs to optimize antimicrobial therapy in the inpatient setting as well as in unique patient populations and ambulatory settings.
Outpatient parenteral antimicrobial therapy (OPAT) in the UK: a cross-sectional survey of acute hospital trusts and health boards.
Outpatient Parenteral Antimicrobial Therapy in Pediatric Medicaid Enrollees
TLDR
The high rate of medical encounters associated with OPAT in this cohort and the common prescribing of highly bioavailable antimicrobials underscore the opportunities for antimicrobial stewardship of pediatric OPAT.
Dedicated paediatric Outpatient Parenteral Antimicrobial Therapy medical support: a pre–post observational study
TLDR
The introduction of a formal medical team to HiTH demonstrated a positive clinical impact on OPAT patients’ outcomes, and these findings support the ongoing utility of medical governance in a nurse-led HiTH service.
Comparative Effectiveness of Oral Versus Outpatient Parenteral Antibiotic Therapy for Empyema.
TLDR
The frequency of complications was similar with oral therapy and OPAT for children with PPE and oral antibiotics may be considered safe and effective for children who will be discharged to complete therapy in the outpatient setting.
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References

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