outpatient antibiotic therapy (opat) in gloucestershire – gcs community iv service
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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 - PowerPoint PPT PresentationTRANSCRIPT
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_services/Pages/IV%20Therapy.aspx
• Fax 0300 42 11211• 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
GCS Leaflet – Community IV Therapy Service – information for healthcare professionals
• Can navigate to leaflet viahttp://nww.gloscareservices.nhs.uk/specialist_services/Pages/IV
%20Therapy.aspx
Electronic referralhttps://ivtrf.glos.nhs.uk/IVTRForm/Pages/IVTRForm.aspx
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
OPAT – GCS Community iv Service
Most frequently treated infective conditions:CellulitisOsteomyelitisUTIs caused by multiply-resistant organismsBronchiectasis
Referrals fromGlosOut of county referrals for pts being
repatriated to glos – Oxford (NOC), Bristol, Birmingham, Swindon
OPAT – GCS Community iv Service
• A blood monitoring leaflet has been developed
Weekly blood monitoring by the iv therapy team of• Routinely– FBC– U+Es and eGFR– CRP
• When necessary– Antibiotic assays / levels – TDM– CPK
• 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
OPAT – GCS Community iv Service
Resources and Patient Informationhttp://nww.gloscareservices.nhs.uk/specialist_services/Pages/IV%20Therapy.aspx