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Outpatient Antibiotic Therapy (OPAT) in Gloucestershire – GCS Community iv Service

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

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Outpatient Antibiotic Therapy (OPAT) in Gloucestershire – GCS Community iv Service

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  1. 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

  2. GCS Leaflet – Community IV Therapy Service – information for healthcare professionals • Can navigate to leaflet via http://nww.gloscareservices.nhs.uk/specialist_services/Pages/IV%20Therapy.aspx

  3. Electronic referral https://ivtrf.glos.nhs.uk/IVTRForm/Pages/IVTRForm.aspx

  4. 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

  5. OPAT – GCS Community iv Service Most frequently treated infective conditions: • Cellulitis • Osteomyelitis • UTIs caused by multiply-resistant organisms • Bronchiectasis Referrals from • Glos • Out of county referrals for pts being repatriated to glos – Oxford (NOC), Bristol, Birmingham, Swindon

  6. 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

  7. OPAT – GCS Community iv Service • 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

  8. Resources and Patient Information http://nww.gloscareservices.nhs.uk/specialist_services/Pages/IV%20Therapy.aspx

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