- Title
- A cost analysis of Outpatient Parenteral Antibiotic Therapy (OPAT): an Asian perspective
- Creator
- Yong, Candice; Fisher, Dale A.; Sklar, Grant E.; Li, Shu-Chuen
- Relation
- International Journal of Antimicrobial Agents Vol. 33, Issue 1, p. 46-51
- Publisher Link
- http://dx.doi.org/10.1016/j.ijantimicag.2008.07.016
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2009
- Description
- The concept of Outpatient Parenteral Antibiotic Therapy (OPAT) is relatively new in Asia. This study compared the actual costs and outcomes of care involving OPAT with conventional inpatient-only care at a university hospital in Singapore. Actual costs were obtained for selected patients enrolled in OPAT after 1 January 2005 and these costs were directly compared with those of age-, gender- and diagnosis-matched patients managed as inpatients only prior to the availability of OPAT in the preceding 12 months. Outcomes of patients were also considered. The OPAT and inpatient-only groups comprised 72 and 93 enrolments, respectively. Mean treatment duration for OPAT patients was 42.5 days versus 19 days for those receiving inpatient-only care (P < 0.001). The mean total treatment cost for OPAT and inpatient-only care was US$12 736 and $12 403, respectively (P = 0.706). Mean cost per day for care including an OPAT episode was US$278 versus $457 per day for inpatient-only care (P < 0.001). There was no difference in outcomes between the two groups. OPAT is a viable alternative to inpatient care as it is safe, effective and results in lower daily costs. The trend to longer treatment courses is worthy of further review.
- Subject
- Outpatient Parenteral Antibiotic Therapy; OPAT; Singapore; cost analysis
- Identifier
- http://hdl.handle.net/1959.13/806580
- Identifier
- uon:7153
- Identifier
- ISSN:0924-8579
- Language
- eng
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