350 New Service of Intravenous Antibiotics Administration at Home- a Single Centre Experience

Abstract Introduction Outpatient Parenteral Antibiotics Therapy (OPAT) provides a safe and effective alternative to prevent long-term hospital stay. If used efficiently, it is beneficial cost-effective. Method 199 patients from January 2017 since the services started March 2021 were included in this retrospective observational study. Demographics, clinical management OPAT outcome data studied compared with local guidelines. Patients receiving for oral medications or ambulant reach AECU excluded. Results 205 received service total of 248 patient episodes. 6 excluded because inadequate availability. cases analysed mean age 72±13.9 years (age ≥60 years: 79.8%; M:F 3:2). 24.6% osteomyelitis followed by 12% prosthetic infections. The average duration antibiotics was 38.4 days (3–187 days). We assumed 3 as benchmark deviated planned found 45% got more than they planned: an 20 excess. 65.8% had microbiological investigations done before antibiotics. Flucloxacillin first-choice antibiotic. When trust guidelines, 29% managed line recommended duration, proper investigations, choice 14.5% developed side effects. Conclusions With being new service, there are lot opportunities improve monitoring, experience practice. have already improvement changing our record-keeping governance working on pathway.