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. 2019 Aug 26;1(2):dlz026. doi: 10.1093/jacamr/dlz026

Table 2.

Proposed treatment aims and OPAT service outcomes

Description
Treatment aim
 cure To complete an agreed OPAT duration of therapy on either intravenous and/or complicated oral antimicrobialsa with no requirement for long-term antimicrobial therapy.
 improvement To complete an agreed OPAT duration of therapy on either intravenous and/or complicated oral antimicrobials (a) as part of an agreed surgical infection management plan with further surgery planned or (b) where there is a requirement for subsequent long-term or an extended course of oral suppressive antimicrobial therapy, or (c) where potentially infective prosthetic material is still in situ.
 palliation To undertake a course of OPAT on either intravenous and/or complicated oral antimicrobials where there are agreed ceilings of care due to comorbidities, with death being the likely outcome.
OPAT outcome
 treatment aim attained—uncomplicated Completed OPAT therapy as per treatment aim with:
  • no unplanned changes in antimicrobial agent.

  • no adverse events.

  • no planned or unplanned readmission related to the current OPAT episode.

  • no readmission of ≥24 h for unrelated event (i.e. day case/overnight stay for another medical problem allowed).

 treatment aim attained—complicated Completed OPAT therapy as per treatment aim but with one or more of the following:
  • unplanned changes in antimicrobial agent.

  • any adverse event including readmission for <24 h related to the current OPAT episode.

 treatment aim not attained
  • failure to complete planned OPAT therapy for any reason other than readmission due to unrelated event.

  • worsening of infection requiring readmission.

  • readmission for ≥24 h for any cause related to OPAT, including adverse events.

 indeterminate Readmission for ≥24 h due to unrelated event.
 death Death due to any cause, except palliation.
a

Complicated oral antimicrobials refers to oral regimens that require specific monitoring or are associated with particular risk of toxicity.