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. Author manuscript; available in PMC: 2022 Mar 14.
Published in final edited form as: J Addict Med. 2022 Mar-Apr;16(2):e70–e72. doi: 10.1097/ADM.0000000000000856

TABLE 1:

Previously Cited Barriers to Home-Based OPAT for PWID*

  • Socioeconomic factors (stable housing, transportation, living with responsible adult who can support infusions)

  • Risk of misusing PICC line

  • Lack of tamper-evident mechanism

  • Willingness of ID physician to follow the patient as an outpatient

  • Risk of incomplete antibiotic course

  • Requirement of behavioral contract

  • Need for mental health or substance use disorder treatment

  • Lack of data on outcomes for OPAT in PWID

  • Risk of being sued

  • Inadequate Medicare coverage for non-homebound patients15

  • Lack of existing models and guidance or research
*

Table adapted from Fanucchi et al., 2016