Description

Outpatient parenteral antibiotic therapy (OPAT) can be used in pediatric patients if the patient and family are suitable.


Parameters to consider:

(1) clinical factors

(2) social factors

(3) caregiver

 

Clinical factors:

(1) The patient is clinically stable.

(2) The infection is well-defined with a predictable prognosis.

(3) The condition is amenable to OPAT management.

(4) The risk of complications from the underlying infection is minimal.

(5) No other reason for inpatient management (other than to administer antibiotics).

(6) An oral switch can be considered at the suitable time.

(7) A suitable antibiotic is available.

(8) There is no evidence of a deep-seated collection that requires drainage.

 

Social factors:

(1) The home arrangement is suitable for OPAT (clean, working refrigerator, etc).

(2) The family has a telephone.

(3) The family has access to transportation.

(4) No or minor child protection concerns.

(5) The patient is unlikely to engage in risk-taking activities.

 

Caregiver:

(1) The caregiver understands the required commitment and responsibilities involved.

(2) The caregiver is competent in performing line care.

(3) The caregiver is competent in administering required medications.

(4) The caregiver is aware of potential complications and what to do if one occurs.


To read more or access our algorithms and calculators, please log in or register.