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Tables

Table 2.2: Main Bundle Components of OPAT

Main Bundle Components

Key Aspects of Component

Patient Identification/ Selection

Afebrile and stable vital signs

Infection should be reasonably stabilised and non-progressive

Not likely to abuse a vascular access system (e.g. injection drug user)

Fully aware of benefits and risks

Appropriate and adequate social support

Capable and responsible for the infusion, care of the vascular access device, and the care of the catheter infusion site, and be able to recognise and report new problems such as fever and rash.

Willingness to comply with follow-up plan

ID Consultation

Establishment of clinical diagnosis

Selection of appropriate antimicrobials

Selection of Antimicrobials

Factors:

the definite or probable infecting organism

the pharmacodynamics and pharmacokinetic properties of antimicrobials and drug stability

patient’s medical condition

Patient/family education

Vascular access education/sterile technique/teach-back method

Emergency contact numbers for patients

Side effects of medication

Potential Complications

Care transition

Clear communication between inpatient and outpatient services

ID/OPAT plan documented in discharge summary

Laboratory tests ordered as part of discharge plan

Outpatient monitoring

Clinical response

Microbiological, laboratory and radiological monitoring

Addressing lab abnormalities

Vascular access care, and removal at the end of therapy

Medications adjustment as needed (choice, dose, duration)

Adverse effects of antimicrobial

Change in management if needed

Good communication between members of OPAT team

Written policies and protocols

Outline of responsibilities of OPAT team members

Outline of communications between patient and OPAT team

Outline of service arrangement during severe weather

Patient selection criteria

Patient education materials

OPAT program outcomes measures

Patient satisfaction

Readmission rates

Clinical outcomes including any complications of disease and adverse effects of antimicrobials

Complications of vascular access

Program improvements