[Domiciliary parenteral antibiotic therapy: a prospective analysis of the last 12 years]

M J Peláez Cantero, A Madrid Rodríguez, A L Urda Cardona, A Jurado Ortiz
Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.) 2014, 81 (2): 86-91

OBJETIVES: Parenteral antibiotic treatment has been classically developed in hospitals and is considered as a hospital procedure. The development of Hospital at Home Units (HHU) has led to an increase in outpatient parenteral antibiotic therapy (OPAT) in paediatrics patients. The objective of this study is to describe our experience, as an HHU integrated within a Paediatric Department, in home antimicrobial therapy over a period of 12 years.

PATIENTS AND METHODS: This prospective and descriptive study included every patient with a disease requiring parenteral antimicrobial therapy who was admitted to our HHU from January 2000 to December 2012.

RESULTS: During the study there were 163 cases on OPAT. The mean age of the patients was 11.1 years, and the sample group was comprised of 33 males and 22 feamales. The main sources of the treated infections were respiratory tract (76%), catheter-related bloodstream (9.2%), and urinary tract infections (5.5%). Amikacin was the most widely used antibiotic. Almost all treatments (96.6%) were via an intravenous route. Catheter-associated complications were more common than drug-associated complications. Successful at-home treatment was observed in 90.2% of cases.

CONCLUSIONS: OPAT is a good and safe alternative in many paediatric diseases.

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