The delivery, setting and outcomes of paediatric outpatient parenteral antimicrobial therapy (pOPAT): a scoping review

Carter, Bernie, Carroll, Emma, Porter, D, Peak, M, Taylor-Robinson, D, Fisher-Smith, D and Blake, Lucy (2018) The delivery, setting and outcomes of paediatric outpatient parenteral antimicrobial therapy (pOPAT): a scoping review. BMJ Open, 8. pp. 1-7. ISSN 2044-6055 DOI

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Background: There has been little detailed systematic consideration of the delivery, setting and outcomes of paediatric OPAT, although individual studies report that it is a safe and effective treatment. Objective: This scoping review examined what is known about the delivery, settings and outcomes of paediatric OPAT and to identify key knowledge deficits. Design: A scoping review using Arksey and O’Malley’s framework was undertaken. Data sources: Key words were identified and used to search MEDLINE and CINAHL. Study appraisal methods: Primary research studies were included if samples comprised children and young people 21 or under, who had received OPAT at home or in a day treatment centre. The Mixed Methods Appraisal Tool (MMAT) was used to review the methodological quality of the studies Main findings: From a preliminary pool of 157 articles, 51 papers were selected for full review. 19 studies fitted the inclusion criteria. Factors influencing delivery of OPAT were diverse and included child’s condition, home environment, child-related factors, parental compliance, training, and monitoring. There is little consensus as to what constitutes success of and adverse events in OPAT. Conclusions: Future studies need to clearly define and use success indicators and adverse events in order to provide evidence that OPAT is safe and effective. Implications: Consensus outcomes that include child and parent perspectives need to be developed to allow a clearer appreciation of a successful OPAT service.

Item Type: Article
Additional Information: e021603
Uncontrolled Keywords: Infectious diseases, Neonatal intensive & critical care, Paediatric infectious disease & immunisation, Paediatric intensive & critical care
Subjects: R Medicine > R Medicine (General)
R Medicine > RJ Pediatrics
R Medicine > RT Nursing
Divisions: Nursing and Midwifery
Date Deposited: 19 Nov 2018 16:02

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