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An Assessment of an Outpatient Antimicrobial Therapy Program in a Rural Medical Center : A Retrospective Chart Review

Burkett, Matthew, Shawn, DNP, FNP, CRNP; Macci Bires, Angela, EdD, MPM, RT(N), CNMT, FSNMMI-TS; Cline, Thomas, W., PhD, MBA; Knight, Anthony, PhD, MBA, CNMT, RT(N), FSSNMI-TS

doi: 10.1097/CNQ.0000000000000192
Original Articles

Current literature supports outpatient parenteral antimicrobial therapy (OPAT). This article presents results from a research study that evaluated an OPAT program that treated community-acquired pneumonia. If patients had the opportunity to receive outpatient intravenous antibiotics for community-acquired pneumonia, would this prevent future hospitalization? Was there a decrease in hospital admissions? An informal cost-benefit analysis comparing OPAT with inpatient hospital admissions for the same disease was also reviewed to provide evidence whether there was a change. What was the overall health care cost savings? The medical charts of 50 patients with confirmed pneumonia who had received OPAT in a 3-month period were reviewed. A retrospective medical record review was performed. All patients were evaluated by the in-house OPAT team. The resulting analysis provided evidence that an estimated savings of approximately $2100 per day would be achieved by decreasing hospital readmissions for patient who had been treated with OPAT. The conclusion of this study provides evidence that the implement of an OPAT program was, and is, essential for patient care and evidence-based best practice adherence.

Green Tree Medical Center, Rices Landing, Pennsylvania (Dr Burkett); Department Head Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Dr Macci Bires); Saint Vincent College, Latrobe, Pennsylvania (Dr Cline); and University of Iowa, Iowa City (Dr Knight).

Correspondence: Angela Macci Bires, EdD, MPM, RT(N), CNMT, FSNMMI-TS, Department Head Health Sciences, Robert Morris University, 6001 University Blvd, Moon Township, PA 15108 (

Robert Morris University, Dr Susan Van Cleve, Green Tree Medical Center, Dr Judith Kaufmann, and Dr Jayesh Gosai.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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