title: Intravenous antimicrobial therapy in the hospital-at-home setting: data from the Spanish Outpatient Parenteral Antimicrobial Therapy Registry.
abstract: OBJECTIVE
  To evaluate outpatient parenteral antimicrobial therapy (OPAT) in the hospital-at-home (HaH) model, using data from a Spanish registry.
  
  
  METHODS
  We describe episodes/characteristics of patients receiving OPAT.
  
  
  RESULTS
  Four thousand and five patients were included (mean age 66.2 years), generating 4416 HaH episodes, 4474 infections and 5088 antibiotic treatments. Most patients were from the hospital admission ward and emergency department. Respiratory, urinary and intra-abdominal infections predominated (72%). Forty-six different antimicrobials were used, including combinations of ≥ 2 drugs (20.7%). Most HaH episodes had a successful outcome (91%).
  
  
  CONCLUSIONS
  Our findings are similar to those obtained previously although our study case profiles differ, suggesting that disease processes of greater severity and complexity can be treated using this healthcare model, without compromising patient safety.
authors.affiliation: Hospital Universitario de Torrejón, Torrejón de Ardoz, Madrid, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Mirón-Rubio
authors.affiliation: Hospital General Universitario Gregorio Marañón, Madrid, Madrid, Spain.
authors.forename: Víctor
authors.initials: V
authors.lastname: González-Ramallo
authors.affiliation: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
authors.forename: Oriol
authors.initials: O
authors.lastname: Estrada-Cuxart
authors.affiliation: Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain.
authors.forename: Pedro
authors.initials: P
authors.lastname: Sanroma-Mendizábal
authors.affiliation: Hospital General Universitario Gregorio Marañón, Madrid, Madrid, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Segado-Soriano
authors.affiliation: Hospital de Sabadell. Corporació Universitària Parc Taulí, Sabadell, Barcelona, Spain.
authors.forename: Abel
authors.initials: A
authors.lastname: Mujal-Martínez
authors.affiliation: Hospital Universitari Son Espases, Palma de Mallorca, Illes Balears, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Del Río-Vizoso
authors.affiliation: Hospital de Can Misses, Ibiza, Illes Balears, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: García-Lezcano
authors.affiliation: Hospital San Pedro, Logroño, La Rioja, Spain.
authors.forename: Natalia
authors.initials: N
authors.lastname: Martín-Blanco
authors.affiliation: Hospital Universitari Joan XXIII, Tarragona, Tarragona, Spain.
authors.forename: Lidia
authors.initials: L
authors.lastname: Florit-Serra
authors.affiliation: Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Mercè
authors.initials: M
authors.lastname: Gil-Bermejo
mesh_terms: D061605:Administration, Intravenous; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000890:Anti-Infective Agents / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D004636:Emergency Service, Hospital; D005260:Female; D018575:Home Care Services, Hospital-Based; D018718:Home Infusion Therapy; D006801:Humans; D059413:Intraabdominal Infections / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D061214:Patient Safety / Q000706:statistics & numerical data; D012042:Registries; D012141:Respiratory Tract Infections / Q000188:drug therapy; D012189:Retrospective Studies; D013030:Spain; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents
keywords: OPAT; hospital-at-home