Optimizing Outpatient Parenteral Antimicrobial Therapy (OPAT): A survey of community nurses’ practices in France - 03/09/25
Highlights |
• | Beta-lactam antibiotics are common in OPAT, but infusion timing and adherence remain challenging. |
• | 80% of nurses reported non-compliant prescriptions; 74% lacked equipment—improved support is essential. |
• | Significant communication gaps found: nearly 60% of nurses unaware of diagnosis, 93% without patient care history access. |
• | Targeted training, standardized prescription tools, and dedicated support teams could enhance implementation and safety of OPAT in France. |
Abstract |
Objective |
This study aimed to assess the implementation and organization of Outpatient Parenteral Antimicrobial Therapy (OPAT) in France by examining the practices of community nurses (CNs).
Materials and Methods |
An online survey on OPAT practices was distributed to CNs throughout France.
Results |
All in all, 520 responses were received, with 448 (86%) from CNs who had experience with OPAT. Three hundred and thirty-three (74%) reported not always having the necessary equipment for care. Regarding communication, 276 (62%) were not always informed of the diagnosis, and 411 (93%) lacked access to patient care history. Three hundred and fifty-nine nurses (80%) did not fully comply with antibiotic prescriptions. Among 272 nurses who had administered intermittent infusions three to four times a day, 232 (85%) reported difficulties in maintaining prescribed dosing intervals.
Conclusion |
In order to optimize patient outcomes, OPAT stands in need of systemic improvements in communication, equipment availability, and prescription adherence.
Le texte complet de cet article est disponible en PDF.Keywords : Outpatient parenteral antimicrobial therapy, Community nurses, Home care
Plan
Vol 55 - N° 6
Article 105088- septembre 2025 Retour au numéro
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