Outpatient Antibiotic Therapy (OPAT) in
Gloucestershire – GCS Community iv Service
• GCS Leaflet – Community IV Therapy Service –
information for healthcare professionals
• Pt can be referred by GP, Consultant (and junior doctors
on senior instruction) or specialist nurse
• Non-urgent referral by e-referral on GCS website or by fax
(completed referral form)
http://nww.gloscareservices.nhs.uk/specialist_services/Pages/IV%20Therapy.aspx
• Fax 0300 42 11211
• Urgent referrals, or to discuss referrals – page the iv
therapy nurse – pager 07659 113695
• Hours of contact 8am to 6pm
• IV Lead Nurse – Andrea Darby
GCS Leaflet – Community IV Therapy Service –
information for healthcare professionals
• Can navigate to leaflet via
http://nww.gloscareservices.nhs.uk/specialist_services/Pages/IV%20Therapy.aspx
Electronic referral
https://ivtrf.glos.nhs.uk/IVTRForm/Pages/IVTRForm.aspx
What choice of antibiotic could allow a patient
to be referred to Home community IV team?
• Most antibiotics are once daily
• Occasionally bd courses are given
Most commonly used iv antibiotics are:
• Teicoplanin
• Daptomycin
• Ceftriaxone
• Ertapenem
• More rarely – ceftazidime, meropenem
OPAT – GCS Community iv Service
Most frequently treated infective conditions:
Cellulitis
Osteomyelitis
UTIs caused by multiply-resistant organisms
Bronchiectasis
Referrals from
Glos
Out of county referrals for pts being
repatriated to glos – Oxford (NOC), Bristol,
Birmingham, Swindon
OPAT – GCS Community iv Service
• A blood monitoring leaflet has been developed
Weekly blood monitoring by the iv therapy team of
• Routinely
– FBC
– U+Es and eGFR
– CRP
• When necessary
– Antibiotic assays / levels – TDM
– CPK
OPAT – GCS Community iv Service
• Patients need to fit IV pathway inclusion
criteria
• Patients will require a PICC line for IV therapy
treatments for more than 10 days
• Patients must have review and follow up
appointment with referrer
• In-hospital prescription chart, drugs and
consumables must be sent home with the
patient on discharge
Resources and Patient Information
http://nww.gloscareservices.nhs.uk/specialist_services/Pages/IV%20Therapy.aspx