Accès ouvert déclaré
2022
article
Outpatient Parenteral Antibiotic Treatment vs Hospitalization for Infective Endocarditis: Validation of the OPAT-GAMES Criteria
Juan M. Pericàs, Jaume Llopis, Patricia Muñóz, Víctor José González Ramallo, M. E. García-Leoni, Arístides de Alarcón, Rafael Luque, M. Carmen Fariñas, Miguel Ángel Goenaga, Marta Hernández‐Meneses, David Nicolás, António Ramos, Ángeles Rodríguez Esteban, Aroa Villoslada, José M. Miró, Fernando Fernández Sánchez, Mariam Noureddine, Gabriel Rosas, Javier de la Torre, Elena Bereciartúa, Roberto Blanco, María Victoria Boado, Marta Campaña Lázaro, Alejandro Crespo, Laura Guío Carrión, Mikel Del Álamo Martínez de Lagos, Gorane Euba, Josune Goikoetxea, Marta Ibarrola Hierro, José Ramón Iruretagoyena, Josu Irurzun Zuazabal, Leire López-Soria, Miguel Montejo, Javier Nieto Guevara, David Rodrigo, Regino Rodríguez, Yolanda Vitoria, Roberto Voces, Ma Victoria García López, Radka Ivanova Georgieva, Guillermo Ojeda, Isabel Rodríguez Bailón, Josefa Ruíz Morales, Harkaitz Azkune Galparsoro, Elisa Berritu Boronat, Ma Jesús Bustinduy Odriozola, Cristina del Bosque Martín, Tomás Echeverría, Alberto Eizaguirre Yarza, Ana Fuentes, Muskilda Goyeneche del Río, Ángela Granda Bauza, José Antonio Iribarren, Xabier Kortajarena Urkola, José Ignacio Pérez-Moreiras López, Ainhoa Rengel Jiménez, Karlos Reviejo, Alberto Sáez Berbejillo, Elou Sánchez Haza, Rosa Sebastián Alda, Itziar Solla Ruíz, Irati Unamuno Ugartemendia, Diego Vicente Anza, Iñaki Villanueva Benito, Mar Zabalo Arrieta, Rafael Carrasco, Vicente Climent, Patricio Llamas, Esperanza Merino, Joaquín Plazas, Sergio Reus, Nemesio Álvarez, José María Bravo-Ferrer, Laura Castelo, José Cuenca, Pedro Llinares, Enrique Míguez Rey, María Rodríguez Mayo, Efrén Sánchez, Dolores Sousa Regueiro, M.M. Alonso, Beatriz Castro, Teresa Delgado Melian, Javier Fernández Sarabia, Dácil García Rosado, Julia González González, Juan Lacalzada‐Almeida, Lissete Lorenzo de la Peña, Alina Pérez Ramírez, Pablo Prada Arrondo, Fermín Rodríguez Moreno, Antonio Plata, José Ma Reguera Iglesias, Carlos Costas, Jesús de la Hera, Jonathan Fernández-Suárez, Lisardo Iglesias Fraile, José López Menéndez, Pilar Mencía Bajo, Alfonso Moreno Torrico, Raquel Rodríguez-García, Mauricio Telenti Asensio, Manuel Almela, Juan Ambrosioni, Manel Azqueta, Merçè Brunet, Marta Bodro, Ramón Cartañá, Guillermo Cuervo, Carlos Falces, Guillermina Fita, David Fuster, Cristina García de la Mària, Delia García-Pares, Jaume Llopis Pérez, Francesc Marco, Asunción Moreno, Salvador Pié i Ninot, Eduard Quintana, Carlos Paré, Daniel Pereda, José Luís Pomar, J. M. Ramírez, Irene Rovira, Elena Sandoval, Marta Sitges, Dolors Soy, Adrián Téllez, José Marı́a Tolosana, Bárbara Vidal, Jordi Vilà, Iván Adán, Juan Carlos Gómez Alonso, Ana Álvarez‐Uría, Javier Bermejo, Emilio Bouza, Gregorio Cuerpo Caballero, Antonia Delgado-Montero, Ana González Mansilla, Ma Eugenia García Leoni, Esther Gargallo, Martha Kestler Hernández, Amaia Marí Hualde, Marina Machado, Mercedes Marín, Manuel Martínez‐Sellés, María Olmedo, Álvaro Pedraz, Blanca Pinilla, Ángel González Pinto, Cristina Rincón, Hugo Rodríguez-Abella, Marta Rodríguez‐Créixems, A. Segado, Neera Toledo, Maricela Valerio, Pilar Vázquez, Eduardo Verde Moreno, Isabel Antorrena, Belén Loeches, Mar Moreno, Ulises Ramírez, Verónica Rial Bastón, María Pilar Romero‐Gómez, Sandra Rosillo, Jesús Agüero Balbín, Cristina Amado, Carlos Armiñanzas Castillo, Ana Arnáiz, Francisco Arnaíz de las Revillas, Manuel Cobo Belaustegui, María Carmen Fariñas, Concepción Fariñas-Álvarez, Marta Fernández Sampedro, Iván García, Claudia González-Rico, Laura Gutiérrez-Fernández, Manuel Gutiérrez‐Cuadra, José Gutiérrez Díez, Marcos Pajarón, José Antonio Parra, Ramón Teira, Jesús Zarauza, Marta Cobo, Fernándo Domínguez, Alberto Fortaleza, Pablo García Pavía, Jesús González, Ana Fernández‐Cruz, Elena Múñez, Isabel Sánchez Romero, Tomasa Centella, José Manuel Hermida, José Luis Betrán Moya, Pilar Martín‐Dávila, Enrique Navas, Enrique Oliva, Alejandro del Río, Jorge Rodríguez-Roda Stuart, Soledad Ruíz, Carmen Hidalgo Tenorio, Manuel Almendro Delia, Omar Araji, José Miguel Barquero, Román Calvo Jambrina, Marina de Cueto, Irene Méndez, Isabel Morales, Luis Eduardo López-Cortés, Arı́stides de Alarcón, Juan Luis Haro, José Antonio Lepe, Francisco López, Luis Javier Alonso, Pedro Azcárate, José Manuel Azcona, José Ramón Blanco, A. Cabrera Villegas, Lara García-Álvarez, Concepción García García, José A. Oteo, Mercè Gurguí, Cristina Pacho, R. Pericás, Guillem Pons, Mar Álvarez, Ángel L. Fernández, Amparo Martínez, A. Prieto, Benito Regueiro, E. Tijeira, Marino Vega, Andrés Canut Blasco, José Cordo Mollar, Juan Carlos Gainzarain Arana, Óscar García Uriarte, Alejandro Martín López, Zuriñe Ortiz de Zárate, José Antonio Urturi Matos, Antonio Sánchez-Porto, Úbeda Iglesias Alejandro, José María Arribas, Elisa García Vázquez, Alicia Hernández Torres, Ana Lozano Blázquez, Javier Aramburu, Felicitas Elena Calvo, Anai Moreno Rodríguez, Paola Tarabini-Castellani, Eva Heredero Gálvez, Carolina Maicas Bellido, José Largo Pau, Ma Antonia Sepúlveda, Pilar Toledano Sierra, Sadaf Zafar Iqbal-Mirza, Eva Cascales Alcolea, I. Keituqwa Yáñez, Julián Navarro Martínez, Ana Peláez Ballesta, Eduardo Moreno Escobar, Alejandro Peña Monje, Valme Sánchez Cabrera, David Vinuesa García, María Arrizabalaga Asenjo, Carmen Luna, Juana Núñez Morcillo, Ma Cruz Pérez Seco, Carmen Aured Guallar, Nuria Fernández Abad, Pilar García Mangas, Marta Matamala Adell, Ma Pilar Palacián Ruiz, Juan Carlos Porres, Begoña Alcaraz Vidal, Nazaret Cobos Trigueros, María Jesús Del Amor Espín, José Antonio Giner, Roberto Jiménez Sánchez, Amaya Jimeno Almazán, Alejandro Ortín Freire, Monserrat Viqueira González, Ma Ángels Ribas Blanco, Enrique Ruiz de Gopegui Bordes, Laura Vidal Bonet, Ma Carmen Bellón Munera, Elena Escribano Garaizábal, Antonia Tercero Martínez, Juan Carlos Segura Luque, Cristina Badía, Lucía Boix Palop, Mariona Xercavins, Sònia Ibars, Xerach Bosch, Eloy Gómez Nebreda, Ibalia Horcajada Herrera, Irene Menduiña Gallego, Imanol Pulido, Héctor Marrero Santiago, Isabel de Miguel Martínez, Elena Pisos Álamo, Eva Ma Aguilar Blanco, Mercedes Catalán González, María Angélica Corres Peiretti, Andrea Eixerés Esteve, Laura Domínguez Pérez, Santiago de Cossío Tejido, Francisco Galván Román, José Antonio García Robles, Francisco López‐Medrano, Ma Jesús López Gude, Ma Ángeles Orellana Miguel, Patrick Pilkington, Yolanda Revilla Ostalaza, Juan Ruiz Morales, S. Ruíz Solís, Ana Sabín Collado, Marcos Sánchez Fernández, Javier Solera Rallo, Francesc Escrihuela-Vidal, Jordi Carratalà, Inmaculada Grau, Sara Grillo, Carmen Ardanuy, Dàmaris Berbel, José Carlos Sánchez Salado, Oriol Alegre, Alejandro Ruiz Majoral, Fabrizio Sbraga, Arnau Blasco, Laura Gràcia Sánchez, Iván Sánchez-Rodríguez, Beatriz Álvarez, Ricardo Fernández Roblas, Miguel Ángel Navas Lobato, Ana María Pello, Ruth Esther Figueroa Cerón, Lara Ruíz Gómez, Mireia Blé, Juan Pablo Horcajada, Antonino Ginel, Inmaculada López, Alexandra Mas, Antoni Mestres, Lluís Molina Balaguer, Ramón Serrat, Núria Ribas, F. Ruiz Sánchez, Ana Silverio, Marina Suárez, Luisa Sorlí, Lluís Recasens, Manuel Taurón
19Citations signalées — pas une note de qualité
14Institutions déclarées
1Pays d’affiliation déclarés
Résumé fourni par la source
Abstract Background Outpatient parenteral antibiotic treatment (OPAT) programs are increasingly used to manage infective endocarditis (IE), but current criteria for indicating OPAT are markedly conservative. We aimed to investigate whether more liberal criteria for indicating OPAT in IE can be safely used. Methods This was a prospective multicenter nationwide cohort study (2008–2018). Rates of readmission, recurrences, and 1-year mortality were compared between hospital-based antibiotic treatment (HBAT) and OPAT. Risk factors for readmission and mortality in OPAT patients were investigated by logistic regression. Patients did not fulfill OPAT-GAMES (Grupos de Apoyo al Manejo de la Endocarditis en ESpaña) criteria if they had any of the following: cirrhosis, severe central nervous system emboli, undrained abscesses, severe conditions requiring cardiac surgery in nonoperable patients, severe postsurgical complications, highly difficult-to-treat microorganisms, or intravenous drug use. Results A total of 2279 HBAT patients and 1268 OPAT patients were included. Among OPAT patients, 307 (24.2%) did not fulfill OPAT-GAMES criteria. Overall, OPAT patients presented higher rates of readmission than HBAT patients (18.2% vs 14.4%; P = .004), but no significant differences were found in the propensity analysis. Patients not fulfilling OPAT-GAMES criteria presented significantly higher rates of readmission than HBAT and OPAT-GAMES (23.8%, 14.4%, 16.4%; P < .001), whereas no significant differences were found in mortality (5.9%, 8%, 7.4%; P = .103) or recurrences (3.9%, 3.1%, 2.5%; P = .546). Not fulfilling OPAT-GAMES criteria was associated with higher risk of readmission (odds ratio [OR], 1.43; 95% CI, 1.03–1.97; P = .03), whereas cardiac surgery was associated with lower risk (OR, 0.72; 95% CI, 0.53–0.98; P = .03). Conclusions OPAT-GAMES criteria allow identification of IE patients at higher risk of long-term complications to whom OPAT cannot be safely administered.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Outpatient Parenteral Antibiotic Treatment vs Hospitalization for Infective Endocarditis: Validation of the OPAT-GAMES Criteria
- Date Crossref
- 30/08/2022
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Antibiotics Pharmacokinetics and EfficacyInfective Endocarditis Diagnosis and ManagementSurgical site infection prevention