A pilot project of expert nurses for the follow-up of complex intravenous antimicrobial treatment - 05/05/23
Highlights |
• | Nurses can be precious allies in the fight against antimicrobial resistance. |
• | In a pilot project, three expert nurses were trained for complex antimicrobial treatment follow-up. |
• | At one year, they performed 621 consultations, mostly (64%) for bone and joint infections. |
• | No severe adverse event related to the programme was reported. |
• | Patients, infectious diseases physicians, and expert nurses reported high-level of satisfaction. |
Abstract |
Objective |
To report a pilot project of expert nurses for outpatient parenteral antimicrobial treatment (OPAT) follow-up.
Methods |
Three nurses with specific training on antibiotics started a state-funded programme including: i) consultations for OPAT follow-up; ii) hotline for satellite hospitals; iii) peer training. Patients’ data were prospectively collected. A representative sample of patients and physicians was interviewed to learn about their opinion on the project.
Results |
From December 2020 to December 2021, 118 patients (median age 66.5 years [52–75], male-to-female ratio 2.5) were enrolled, for a total of 621 consultations. Patients were mostly on OPAT for bone and joint infections (n = 76, 64 %) and cardiovascular infections (n = 16, 14 %), for a median duration of 29 days [22–57]. Eleven patients (9 %) required unplanned hospital admissions, and three experienced treatment failure. Most patients (21/22) and physicians in charge (10/10) reported a high level of satisfaction.
Conclusions |
Nurses may be important actors for OPAT follow-up.
Le texte complet de cet article est disponible en PDF.Keywords : Nurses, Outpatient parenteral antimicrobial treatment, Antimicrobial resistance, Competency building, Task delegation
Plan
| ☆ | This work has been presented at the XXII Journées Nationales d’Infectiologie (JNI Bordeaux, France, 2022), and has been awarded the ‘Prix du Meilleur Poster Infirmier’. |
Vol 53 - N° 3
Article 104670- avril 2023 Retour au numéro
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