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Evaluation of Outpatient Parenteral Antimicrobial Therapy at a Veterans Affairs Hospital

Published online by Cambridge University Press:  26 May 2015

Emily Sydnor Spivak*
Affiliation:
Veterans Affairs Salt Lake City Health System, Salt Lake City, Utah Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah
Brian Kendall
Affiliation:
Veterans Affairs Salt Lake City Health System, Salt Lake City, Utah Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah
Patricia Orlando
Affiliation:
Veterans Affairs Salt Lake City Health System, Salt Lake City, Utah Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, Utah
Christian Perez
Affiliation:
University of Utah School of Medicine, Salt Lake City, Utah
Marina De Amorim
Affiliation:
University of Utah School of Medicine, Salt Lake City, Utah
Matthew Samore
Affiliation:
Veterans Affairs Salt Lake City Health System, Salt Lake City, Utah Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah
Andrew T. Pavia
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.
Adam L. Hersh
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.
*
Address correspondence to Emily Sydnor Spivak, MD, MHS, Division of Infectious Diseases, University of Utah School of Medicine, 30 N 1900 E, Rm 4B319, Salt Lake City, Utah 84132 ([email protected]).

Abstract

We reviewed outpatient parenteral antimicrobial therapy at a Veterans Affairs Medical Center to identify opportunities for antimicrobial stewardship intervention. A definite or possible modification would have been recommended in 60% of courses. Forty-one percent of outpatient parenteral antimicrobial therapy courses were potentially avoidable, including 22% involving infectious diseases consultation.

Infect. Control Hosp. Epidemiol. 2015;36(9):1103–1105

Type
Concise Communications
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

Presented in part: IDWeek 2014; Philadelphia, Pennsylvania; October 11, 2014 (Abstract 1297).

References

1. Tice, AD, Rehm, SJ, Dalovisio, JR, et al. Practice guidelines for outpatient parenteral antimicrobial therapy. IDSA guidelines. Clin Infect Dis 2004;38:16511672. doi:10.1086/420939.CrossRefGoogle ScholarPubMed
2. Lane, MA, Marschall, J, Beekmann, SE, et al. Outpatient parenteral antimicrobial therapy practices among adult infectious disease physicians. Infect Control Hosp Epidemiol 2014;35:839844. doi:10.1086/676859.CrossRefGoogle ScholarPubMed
3. Gomez, M, Maraqa, N, Alvarez, A, Rathore, M. Complications of outpatient parenteral antibiotic therapy in childhood. Pediatr Infect Dis J 2001;20:541543.CrossRefGoogle ScholarPubMed
4. Allison, GM, Muldoon, EG, Kent, DM, et al. Prediction model for 30-day hospital readmissions among patients discharged receiving outpatient parenteral antibiotic therapy. Clin Infect Dis 2014;58:812819. doi:10.1093/cid/cit920.CrossRefGoogle ScholarPubMed
5. Gordon, SM, Shrestha, NK, Rehm, SJ. Transitioning antimicrobial stewardship beyond the hospital: the Cleveland Clinic’s community-based parenteral anti-infective therapy (CoPAT) program. J Hosp Med 2011;6:S24S30. doi:10.1002/jhm.867.CrossRefGoogle ScholarPubMed
6. Shrestha, NK, Bhaskaran, A, Scalera, NM, Schmitt, SK, Rehm, SJ, Gordon, SM. Contribution of infectious disease consultation toward the care of inpatients being considered for community-based parenteral anti-infective therapy. J Hosp Med 2012;7:365369. doi:10.1002/jhm.1902.CrossRefGoogle ScholarPubMed
7. Madigan, T, Banerjee, R. Characteristics and outcomes of outpatient parenteral antimicrobial therapy at an academic children’s hospital. Pediatr Infect Dis J 2013;32:346349. doi:10.1097/INF.0b013e31827ee1c2.CrossRefGoogle ScholarPubMed
8. Lai, A, Tran, T, Nguyen, HM, Fleischmann, J, Beenhouwer, DO, Graber, CJ. Outpatient parenteral antimicrobial therapy at large Veterans Administration Medical Center. Am J Manag Care 2013;19:e317e324.Google ScholarPubMed
9. Knackstedt, ED, Stockmann, C, Davis, CR, Thorell, EA, Pavia, AT, Hersh, AL. Outpatient parenteral antimicrobial therapy in pediatrics: an opportunity to expand antimicrobial stewardship. Infect Control Hosp Epidemiol 2015;36:222224. doi:10.1017/ice.2014.27.CrossRefGoogle Scholar
10. Drekonja, DM. Urinary tract infection in male veterans: treatment patterns and outcomes. JAMA Intern Med 2013;173:62. doi:10.1001/2013.jamainternmed.829.CrossRefGoogle ScholarPubMed
11. Hooton, TM, Bradley, SF, Cardenas, DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis 2010;50:625663.CrossRefGoogle ScholarPubMed
12. Stevens, DL, Bisno, AL, Chambers, HF, et al. Practice guidelines for the diagnosis and management of skin and soft-tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 2014;59:e10e52. doi:10.1093/cid/ciu444.CrossRefGoogle ScholarPubMed