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R.A. Seaton, Gartnavel General Hospital, Glasgow

R.A. Seaton, Gartnavel General Hospital, Glasgow

R.A. Seaton, Gartnavel General Hospital, Glasgow

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Clinical outcomes with OPAT:<br />

International OPAT registry<br />

International OPAT registry (n=11,427)<br />

Outcomes, n (%)<br />

Improved No change Failed Other<br />

US (N=9826) 9089 (92.5) 226 (2.3) 128 (1.3) 392 (3.9)<br />

UK (N=981) 950 (96.8) 9 (0.9) 13 (1.3) 9 (1.0)<br />

Italy (N=620) 590 (95.1) 8 (1.4) 15 (2.4) 7 (1.1)<br />

OPAT in complicated S. aureus<br />

bacteraemia<br />

• 200 US patients complicated S. aureus bacteraemia<br />

• (Vancomycin or semi-synthetic penicillin) +<br />

gentamicin vs daptomycin<br />

• 103 (51.5%) OPAT patients<br />

• Daptomycin: 50 (48.5%)<br />

• Vancomycin: 30 (29.1%)<br />

• SSP: 23 (22.3%)<br />

• Mean inpatient treatment: 10.5 days (1–49)<br />

• Mean outpatient treatment: 14.9 days (1–49)<br />

Esposito S et al. Int J Antimicrob Agents 2004;24:473–478<br />

Rehm S et al. J Antimicrob Chemother 2009;63:1034–1042<br />

OPAT in complicated S. aureus<br />

bacteraemia<br />

OPAT experience in CORE ®<br />

Proportion of patients, %<br />

OPAT vs IPAT patient characteristics and outcomes<br />

P

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