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483. OPAT Delivery during COVID-19

BACKGROUND: In 2020, COVID-19 spurred unprecedented change in the delivery of routine clinical care. The UNC OPAT program staff, previously accustomed to in-person collaboration in the hospital, became geographically distant amid North Carolina’s partial shutdown starting in March 2020. Team members...

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Autores principales: Swartwood, Michael J, Boerneke, Renae A, Kinlaw, Alan C, Mavrogiorgos, Nikolaos, Marx, Ashley, Ciccone, Emily J, Schranz, Asher J, Bowman, Mary C, Farel, Claire E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7776351/
http://dx.doi.org/10.1093/ofid/ofaa439.676
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author Swartwood, Michael J
Boerneke, Renae A
Kinlaw, Alan C
Mavrogiorgos, Nikolaos
Marx, Ashley
Ciccone, Emily J
Schranz, Asher J
Bowman, Mary C
Farel, Claire E
author_facet Swartwood, Michael J
Boerneke, Renae A
Kinlaw, Alan C
Mavrogiorgos, Nikolaos
Marx, Ashley
Ciccone, Emily J
Schranz, Asher J
Bowman, Mary C
Farel, Claire E
author_sort Swartwood, Michael J
collection PubMed
description BACKGROUND: In 2020, COVID-19 spurred unprecedented change in the delivery of routine clinical care. The UNC OPAT program staff, previously accustomed to in-person collaboration in the hospital, became geographically distant amid North Carolina’s partial shutdown starting in March 2020. Team members relied on teleworking and many OPAT clinic visits shifted to phone and video telehealth. We assessed how COVID-19 impacted our care of OPAT patients including follow-up visits and readmissions. METHODS: UNC’s OPAT database contains clinical and demographic information on all patients on OPAT for at least 14 days who received specialized monitoring program led by an infectious diseases (ID) pharmacist, after evaluation by an ID physician. For all OPAT courses that ended between 3/1/20 and 5/20/20 (last available data cut), we assessed the length of OPAT treatment course, readmissions, adverse events, follow-up ID clinic visits, and the method of follow up visit utilized. We compared these measurements to historical baseline data from 3/1/19 to 5/20/19. RESULTS: During the 2020 period, 73 patients completed OPAT, with median OPAT enrollment lasting 36 days, which was similar to 2019 data (70 patients; median OPAT enrollment of 35 days). During the 2019 period, 93% of patients attended a follow up visit with an infectious diseases clinician, all of which took place in person. During the 2020 (COVID-19) period, 85% of patients attended an ID follow up visit; contrary to 2019, 42% of these visits took place in person, 45% were by phone and 13% were via a telemedicine video service. Readmission rates were similar across the two time periods (16% during COVID-19 vs 14% during 2019 comparison time period, P=0.72). CONCLUSION: UNC OPAT continued through the emergence of COVID-19 as an essential service for a high patient volume by adapting its care delivery and follow-up visit protocols to include virtual care options. Readmission rates for OPAT patients during COVID-19 were comparable to historical baseline data. DISCLOSURES: All Authors: No reported disclosures
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spelling pubmed-77763512021-01-07 483. OPAT Delivery during COVID-19 Swartwood, Michael J Boerneke, Renae A Kinlaw, Alan C Mavrogiorgos, Nikolaos Marx, Ashley Ciccone, Emily J Schranz, Asher J Bowman, Mary C Farel, Claire E Open Forum Infect Dis Poster Abstracts BACKGROUND: In 2020, COVID-19 spurred unprecedented change in the delivery of routine clinical care. The UNC OPAT program staff, previously accustomed to in-person collaboration in the hospital, became geographically distant amid North Carolina’s partial shutdown starting in March 2020. Team members relied on teleworking and many OPAT clinic visits shifted to phone and video telehealth. We assessed how COVID-19 impacted our care of OPAT patients including follow-up visits and readmissions. METHODS: UNC’s OPAT database contains clinical and demographic information on all patients on OPAT for at least 14 days who received specialized monitoring program led by an infectious diseases (ID) pharmacist, after evaluation by an ID physician. For all OPAT courses that ended between 3/1/20 and 5/20/20 (last available data cut), we assessed the length of OPAT treatment course, readmissions, adverse events, follow-up ID clinic visits, and the method of follow up visit utilized. We compared these measurements to historical baseline data from 3/1/19 to 5/20/19. RESULTS: During the 2020 period, 73 patients completed OPAT, with median OPAT enrollment lasting 36 days, which was similar to 2019 data (70 patients; median OPAT enrollment of 35 days). During the 2019 period, 93% of patients attended a follow up visit with an infectious diseases clinician, all of which took place in person. During the 2020 (COVID-19) period, 85% of patients attended an ID follow up visit; contrary to 2019, 42% of these visits took place in person, 45% were by phone and 13% were via a telemedicine video service. Readmission rates were similar across the two time periods (16% during COVID-19 vs 14% during 2019 comparison time period, P=0.72). CONCLUSION: UNC OPAT continued through the emergence of COVID-19 as an essential service for a high patient volume by adapting its care delivery and follow-up visit protocols to include virtual care options. Readmission rates for OPAT patients during COVID-19 were comparable to historical baseline data. DISCLOSURES: All Authors: No reported disclosures Oxford University Press 2020-12-31 /pmc/articles/PMC7776351/ http://dx.doi.org/10.1093/ofid/ofaa439.676 Text en © The Author 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Poster Abstracts
Swartwood, Michael J
Boerneke, Renae A
Kinlaw, Alan C
Mavrogiorgos, Nikolaos
Marx, Ashley
Ciccone, Emily J
Schranz, Asher J
Bowman, Mary C
Farel, Claire E
483. OPAT Delivery during COVID-19
title 483. OPAT Delivery during COVID-19
title_full 483. OPAT Delivery during COVID-19
title_fullStr 483. OPAT Delivery during COVID-19
title_full_unstemmed 483. OPAT Delivery during COVID-19
title_short 483. OPAT Delivery during COVID-19
title_sort 483. opat delivery during covid-19
topic Poster Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7776351/
http://dx.doi.org/10.1093/ofid/ofaa439.676
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