Often patients with cellulitis, need more than oral antibiotic management. However, they are not so sick to require hospital admission. OPAT allows suitable patients to be managed through the ambulatory services rater than being admitted.
- Cellulitis requiring intravenous therapy
- > 16yrs old
- NEWS ≥ 4 OR Red Flag Sepsis
- Acute Confusion
- Oxygen requirements
- MRSA positive Hx – as will need Vancomycin
- Unable to manage at home / Return to AAU
- Has a concurrent issue requiring admission
- Ceftriaxone 1g IV – if penicillin allergy discuss alternatives with microbiology
- Ensure 1st dose given in ED and observed for signs of allergy
- AAU open 08:00-20:00
- Transfer to AAU for AAU team to start OPAT pathway.
- AAU closed 20:00-08:00
- IV cannula – consider how appropriate it is to remain in.
- Ensure AMU Co-Ordanator has all patient details
- Patient to return to AAU when next open, to start OPAT pathway
AAU may need to phone patient to arrange an appropriate time make sure the patients phone number is correct!