Outpatient Antibiotic Therapy (OPAT) in Gloucestershire

1
Outpatient Antibiotic Therapy (OPAT) in
Gloucestershire GCS Community iv Service

• GCS Leaflet Community IV Therapy Service
  information for healthcare professionals
• Pt can be referred by GP, Consultant (and junior
  doctors on senior instruction) or specialist
  nurse
• Non-urgent referral by e-referral on GCS website
  or by fax (completed referral form)
• http//nww.gloscareservices.nhs.uk/specialist_serv
  ices/Pages/IV20Therapy.aspx
• Fax [phone]
• Urgent referrals, or to discuss referrals page
  the iv therapy nurse pager 07659 113695
• Hours of contact 8am to 6pm
• IV Lead Nurse Andrea Darby

2
GCS Leaflet Community IV Therapy Service
information for healthcare professionals

• Can navigate to leaflet via
• http//nww.gloscareservices.nhs.uk/specialist_serv
  ices/Pages/IV20Therapy.aspx

3
(No Transcript)
4
(No Transcript)
5
Electronic referral

• https//ivtrf.glos.nhs.uk/IVTRForm/Pages/IVTRForm.
  aspx

6
What choice of antibiotic could allow a patient
to be referred to Home community IV team?

• Most antibiotics are once daily
• Occasionally bd courses are given
• Most commonly used iv antibiotics are
• Teicoplanin
• Daptomycin
• Ceftriaxone
• Ertapenem
• More rarely ceftazidime, meropenem

7
OPAT GCS Community iv Service

• Most frequently treated infective conditions
• Cellulitis
• Osteomyelitis
• UTIs caused by multiply-resistant organisms
• Bronchiectasis
• Referrals from
• Glos
• Out of county referrals for pts being repatriated
  to glos Oxford (NOC), Bristol, Birmingham,
  Swindon

8
OPAT GCS Community iv Service

• A blood monitoring leaflet has been developed
• Weekly blood monitoring by the iv therapy team of
• Routinely
• FBC
• UEs and eGFR
• CRP
• When necessary
• Antibiotic assays / levels TDM
• CPK

9
OPAT GCS Community iv Service

• Patients need to fit IV pathway inclusion
  criteria
• Patients will require a PICC line for IV therapy
  treatments for more than 10 days
• Patients must have review and follow up
  appointment with referrer
• In-hospital prescription chart, drugs and
  consumables must be sent home with the patient on
  discharge

10
Resources and Patient Information

• http//nww.gloscareservices.nhs.uk/specialist_serv
  ices/Pages/IV20Therapy.aspx