Optimizing Outpatient Parenteral Antimicrobial Therapy (OPAT): A survey of community nurses’ practices in France

IF 2.2 4区医学 Q2 INFECTIOUS DISEASES

Infectious diseases now Pub Date : 2025-05-13 DOI:10.1016/j.idnow.2025.105088

S. Raux , A. Communaux , J.P. Talarmin , L. Khatchatourian

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Abstract

Objective

This study aimed to assess the implementation and organization of Outpatient Parenteral Antimicrobial Therapy (OPAT) in France by examining the practices of community nurses (CNs).

Materials and Methods

An online survey on OPAT practices was distributed to CNs throughout France.

Results

All in all, 520 responses were received, with 448 (86%) from CNs who had experience with OPAT. Three hundred and thirty-three (74%) reported not always having the necessary equipment for care. Regarding communication, 276 (62%) were not always informed of the diagnosis, and 411 (93%) lacked access to patient care history. Three hundred and fifty-nine nurses (80%) did not fully comply with antibiotic prescriptions. Among 272 nurses who had administered intermittent infusions three to four times a day, 232 (85%) reported difficulties in maintaining prescribed dosing intervals.

Conclusion

In order to optimize patient outcomes, OPAT stands in need of systemic improvements in communication, equipment availability, and prescription adherence.

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优化门诊肠外抗菌药物治疗（OPAT）：一项调查社区护士的做法在法国。

目的：本研究旨在通过调查法国社区护士（CNs）的实践，评估门诊肠外抗菌药物治疗（OPAT）的实施和组织情况。材料和方法：一份关于OPAT实践的在线调查已分发给法国各地的cnn。结果：总共收到520份回复，其中448份（86%）来自有OPAT经验的CNs。333名（74%）报告称并不总是拥有必要的护理设备。在沟通方面，276人（62%）并不总是被告知诊断，411人（93%）缺乏获得患者护理史的机会。359名护士（80%）没有完全遵守抗生素处方。在272名每天进行三到四次间歇输液的护士中，232名（85%）报告难以维持规定的给药间隔。结论：为了优化患者预后，OPAT需要在沟通、设备可用性和处方依从性方面进行系统改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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