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Title: A cost analysis of Outpatient Parenteral Antibiotic Therapy (OPAT): an Asian perspective
Authors: Yong, C.
Sklar, G.E. 
Li, S.-C. 
Fisher, D.A. 
Keywords: Cost analysis
Outpatient Parenteral Antibiotic Therapy
Issue Date: 2009
Citation: Yong, C., Sklar, G.E., Li, S.-C., Fisher, D.A. (2009). A cost analysis of Outpatient Parenteral Antibiotic Therapy (OPAT): an Asian perspective. International Journal of Antimicrobial Agents 33 (1) : 46-51. ScholarBank@NUS Repository.
Abstract: 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. © 2008 Elsevier B.V. and the International Society of Chemotherapy.
Source Title: International Journal of Antimicrobial Agents
ISSN: 09248579
DOI: 10.1016/j.ijantimicag.2008.07.016
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