title: Oral Parenteral Antimicrobial Therapy Administration in a Homeless Population.
abstract: Outpatient parenteral antimicrobial therapy (OPAT) is increasingly used to treat serious infections. Patients who identify themselves as homeless may receive OPAT less often, and little is known about their treatment outcomes. The purpose of this study was to describe challenges, treatment completion rates, and cost savings of OPAT in homeless patients discharged from a public safety-net hospital.
authors.affiliation: Division of Infectious Diseases, Denver Health Medical Center, Denver, Colorado (Ms Hernandez and Drs Price, McLees, and Young); and Department of Patient Safety and Quality, Denver Health Medical Center, Denver, Colorado (Mr Knepper). Whitney Hernandez, NP-C, is a member of the Division of Infectious Diseases at Denver Health Medical Center in Denver, CO. Her work involves inpatient and outpatient management of patients with musculoskeletal infections. Connie Price, MD, is a member of the Division of Infectious Diseases at Denver Health Medical Center and the University of Colorado Hospital in Denver, CO. She was the Chief of Infectious Diseases for 10 years and now serves as the Chief Medical Officer. Bryan Knepper, MPH, MSc, is a member of the Department of Patient Safety and Quality at Denver Health Medical Center in Denver, CO. He is Certified in Infection Control and skilled in biostatistics. Margaret McLees, MD, is a member of the Division of Infectious Diseases at Denver Health Medical Center and the University of Colorado Hospital in Denver, CO. She specializes in HIV and the outpatient management of general infectious diseases. Heather Young, MD, is a member of the Division of Infectious Diseases at Denver Health Medical Center and the University of Colorado Hospital in Denver, CO. She is the Director of the Musculoskeletal Infections Clinic.
authors.forename: Whitney
authors.initials: W
authors.lastname: Hernandez
authors.forename: Connie
authors.initials: C
authors.lastname: Price
authors.forename: Bryan
authors.initials: B
authors.lastname: Knepper
authors.forename: Margaret
authors.initials: M
authors.lastname: McLees
authors.forename: Heather
authors.initials: H
authors.lastname: Young
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000368:Aged; D000890:Anti-Infective Agents / Q000008:administration & dosage*; D015331:Cohort Studies; D003120:Colorado; D005260:Female; D006703:Ill-Housed Persons; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D007239:Infections / Q000188:drug therapy*; D007263:Infusions, Parenteral / Q000451:nursing*; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D012189:Retrospective Studies
chemical_list: D000890:Anti-Infective Agents