A Qualitative Review of Patient Feedback for the OPAT (Outpatient Antimicrobial Therapy) Service in Bristol

Author:

Soni Shuchita1,Harding Irasha2,Jones Carys3,Wade Sue3,Norton Jenna3,Pollock Jennifer Siobhan4

Affiliation:

1. Department of Infectious Diseases, North Bristol NHS Trust, Southmead Hospital, Southmead Road, Bristol BS10 5NB, UK

2. Department of Microbiology, Bristol Royal Infirmary, Marlborough Street, Bristol BS1 3NU, UK

3. Department of Pharmacy, Bristol Royal Infirmary, Marlborough Street, Bristol BS1 3NU, UK

4. Sirona Care and Health CIC, Second Floor, Kingswood Civic Centre, High Street, Kingswood, Bristol BS15 9TR, UK

Abstract

Outpatient parenteral antimicrobial therapy (OPAT) aims to deliver intravenous antimicrobials to medically stable patients with complex infections outside of a hospital setting. There is good evidence to demonstrate the safety and efficacy of OPAT in the literature. Anecdotally, the feedback from patients has been positive, but only a few studies evaluate this topic in detail. The aim of this qualitative study was to examine patients’ experiences with and feedback on the OPAT service in Bristol, United Kingdom, which was established in 2021. A total of 92 patient feedback surveys were reviewed retrospectively, and thematic analysis was undertaken. Feedback from OPAT patients in our centre was overwhelmingly positive. The key themes identified were benefits to the patients, their friends, and family, and positive feedback about OPAT staff. The mean overall satisfaction score for OPAT was 9.6 out of 10. Areas to improve included communication between the OPAT and parent teams, improving OPAT capacity, and expansion of the service.

Publisher

MDPI AG

Reference25 articles.

1. Updated good practice recommendations for outpatient parenteral antimicrobial therapy (OPAT) in adults and children in the UK;Chapman;JAC-Antimicrob. Resist.,2019

2. UK Health Security Agency (2023, September 18). Start Smart Then Focus: Antimicrobial Stewardship Toolkit for Inpatient Care Settings, Available online: https://www.gov.uk/government/publications/antimicrobial-stewardship-start-smart-then-focus/start-smart-then-focus-antimicrobial-stewardship-toolkit-for-inpatient-care-settings#section-2-sstf-principles----then-focus.

3. Outpatient parenteral antimicrobial therapy;Chapman;BMJ,2013

4. 2 Building an OPAT service ‘without walls’: What did we learn on the way?;Deacon;BMJ Leader,2023

5. (2024, February 02). Bristol City Council Statistics, Available online: https://www.bristol.gov.uk/council-and-mayor/statistics-census-information/population-of-bristol.

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