Abstract
Self-administration of antibiotics using elastomeric pumps has become the most frequently used treatment modality at the outpatient parenteral antimicrobial therapy (OPAT) unit of the University Hospital of Lausanne. However, it remains unknown how comfortable patients feel using this mode of treatment. A questionnaire was offered to all patients treated at the OPAT unit between June 2014 and December 2015. The questionnaire was distributed to 188 patients and 112 questionnaires were returned. Seventy-one patients were treated by self-administration, 21 attended the OPAT unit on a daily basis, and 20 received their antibiotics from home-care nurses. Overall, 83–97% of the patients gave the highest possible scores to the four items evaluating their global satisfaction. Subjects treated by self-administration gave a significantly better rating to 6 of the 17 semi-quantitative questions than the patients treated at the OPAT unit or by home-care nurses. There was no item which was more poorly rated by patients treated by self-administered OPAT than by the other treatment groups. In conclusion satisfaction was high in all patients treated by OPAT. The particularly high satisfaction of patients treated by self-administration of antibiotics with elastomeric pumps suggests that a significant number of patients are happy to take over some responsibility for their treatment. Patients’ capacity to appropriate their care themselves should not be underestimated by health care professionals.
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References
Tice AD, Rehm SJ, Dalovisio JR, Bradley JS, Martinelli LP, Graham DR et al (2004) Practice guidelines for outpatient parenteral antimicrobial therapy. Clin Infect Dis 38:1651–1671
Chapman ALN, Seaton RA, Cooper MA, Hedderwick S, Goodall V, Reed C et al (2012) Good practice recommendations for outpatient parenteral antimicrobial therapy (OPAT) in adults in the UK: a consensus statement. J Antimicrob Chemother 67:1053–1062
Gardiol C, Voumard R, Cochet C, de Vallière S (2016) Setting up an outpatient parenteral antimicrobial therapy (OPAT) unit in Switzerland: review of the first 18 months of activity. Eur J Clin Microbiol Infect Dis 35:839–845
Berg BL (2001) Qualitative research methods for the social sciences. Allyn and Bacon, Boston
Matthews PC, Conlon CP, Berendt AR, Kayley J, Jefferies L, Atkins BL, Byren I (2007) Outpatient parenteral antimicrobial therapy (OPAT): is it safe for selected patients to self-administer at home? A retrospective analysis of a large cohort over 13 years. J Antimicrob Chemother 60:356–362
Kieran J, O’Reilly A, Parker J, Clarke S, Bergin C (2009) Self-administered outpatient parenteral antimicrobial therapy: a report of three years experience in the Irish healthcare setting. Eur J Clin Microbiol Infect Dis 28:1369–1374
Subedi S, Looke DFM, McDougall DA, Sehu MM, Playford EG (2015) Supervised self-administration of outpatient parenteral antibiotic therapy: a report from a large tertiary hospital in Australia. Int J Infect Dis 30:161–165
Allison GM, Muldoon EG, Kent DM, Paulus JK, Ruthazer R, Ren A, Snydman DR (2014) Prediction model for 30-day hospital readmissions among patients discharged receiving outpatient parenteral antibiotic therapy. Clin Infect Dis 58:812–819
Goodfellow AF, Wai AO, Frighetto L, Marra CA, Ferreira BM, Chase ML et al (2002) Quality-of-life assessment in an outpatient parenteral antibiotic program. Ann Pharmacother 36:1851–1855
Montalto M (1996) Patients’ and carers’ satisfaction with hospital in-the-home care. Int J Qual Health Care 8:243–251
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We thank Tony Chapman for a critical review of the manuscript.
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This study was partially supported by an unconditional grant of the Swiss General Internal Medicine Foundation.
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The authors have no conflict of interest to declare.
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The study was approved by the Ethics Committee of the Canton Vaud, Switzerland.
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all patients signed an informed consent form.
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Saillen, L., Arensdorff, L., Moulin, E. et al. Patient satisfaction in an outpatient parenteral antimicrobial therapy (OPAT) unit practising predominantly self-administration of antibiotics with elastomeric pumps. Eur J Clin Microbiol Infect Dis 36, 1387–1392 (2017). https://doi.org/10.1007/s10096-017-2944-5
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DOI: https://doi.org/10.1007/s10096-017-2944-5