OPAT DATA MANAGEMENT: AN OVERVIEW OF NORS & THE OPAT SERVICE DIRECTORY. BSAC OPAT REGIONAL WORKSHOP London 14 May 2018
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1 OPAT DATA MANAGEMENT: AN OVERVIEW OF NORS & THE OPAT SERVICE DIRECTORY BSAC OPAT REGIONAL WORKSHOP London 14 May 2018 Presented by Felicity Drummond Senior Project Manager, BSAC
2 NORS provides the most comprehensive overview of OPAT service provision across the UK & Ireland. Participating Services can: q access data at any time ( q compare and benchmark data regionally and nationally q demonstrate the value of your OPAT Service to Commissioners q use data to: support service expansion improve stewardship develop shared learning assess & improve patient outcomes
3 NORS is: q free of charge to use q easy to use simple data entry regardless of collection methods q accessible for data entry/analysis at any time M
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5 SERVICE DASHBOARD
6 * Adding, Reviewing & Editing Data
7 *
8 NORS Data Comparisons Data comparison comprises: q Number of patient episodes q Number of treatment days saved q Antimicrobial agents used q Infection Outcomes (Cured, Improved, Failed) q OPAT Outcomes (Success, Partial, Failed, Indeterminate) M
9 NORS Reports Flexible reporting tool allowing users to: q Build bespoke reports q Select required data fields q Easily download reports into Excel files q Manipulate large amounts of data M
10 NORS Reports 1. Primary Infective Diagnosis (PID) a. Region/Service Type/Host Organisation/Treatment days saved/patient episodes 2. Adverse Reactions (ADR) a. Region/Service Type/Host Organisation/Reaction type/reaction 3. Antimicrobials (Drug) a. Region/Service Type/Host Organisation/Antimicrobial agent b. Up to 3 agents can be chosen (IV +/-oral) i.e. two IV & one oral agent (combination therapy) M
11 PID Report Service Name 1 Service Name 2 Service Name 3 Service Name 4 Service Name 1
12 Number of Treatment Days Saved by PID (2017) = 49, Actinomycosis Aspergillosis Bacterial meningitis * Bursitis * 4668 Cellulitis Cholangitis Diabetic foot infection Discitis/vertebral Empyema Endocarditis Hepatic abscess Intraabdominal Lyme Lymphadenitis Malignant otitis Orbital cellulitis * Osteomyelitis - non Other Pelvic Abcess Pneumonia Prosthetic joint - knee Prosthetic joint- hip Pyrexial of unknown Salmonella Sinusitis Syphilis Tonsillitis Urinary tract infection Viral infection Wound Infection - post
13 Number of Patient Episodes by PID (2017) Total = 3, * * * 526 Actinomycosis Appendicitis Aspergillosis Bacteraemia / blood Bacterial meningitis Bronchiectasis Bursitis Candidiasis Cellulitis Cerebral abscess Cholangitis Cystic fibrosis - Diabetic foot infection Discitis/vertebral Discitis/vertebral Diabetic foot infection Empyema Encephalitis Endocarditis Epidural abscess Hepatic abscess Infected pacing box Intraabdominal Line related infection - Lyme Lyme (Neuro) Lymphadenitis MAI (Non-tuberculous Malignant otitis
14 OPAT & Infection Outcomes OPAT Success OPAT Partial Success OPAT Indeterminate OPAT Failure Infection Cure Infection Improved Infection Failure
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16 Adverse Reactions Reported in Number of Reactions = 228 (5.7% of all episodes) Drug Reactions = 130 (3.3% of all episodes) Line Reactions = 98 (2.5% of all episodes) Blood dyscrasia C. Diff Diarrhoea (antibiotic induced) Hepatitis Other Rash Allergy to Dressing Infection Line migration Line occlusion Other Thrombus Drug Line
17 Service Name Antimicrobial Agents Report
18 Aciclovir Amikacin + Ethambutol Amoxicillin + Amphotericin All Antimicrobial Agents Administered in 2017 Aztreonam + Total Treatment Days Saved Total Episodes Ceftazidime Ceftazidime + Ceftriaxone Ceftriaxone + Ceftriaxone + Ceftriaxone + Ceftriaxone + Ceftriaxone + Ciprofloxacin + Colistin Ciprofloxacin + Ciprofloxacin + Ciprofloxacin + Clindamycin Colistin Daptomycin Daptomycin + Doxycycline Ertapenem + Ertapenem + Linezolid + Flucloxacillin Fluconazole Fusidic Acid Imipenem Treatment Days Saved = 57,728 Episodes = 4,874 Levofloxacin Linezolid + Other - Free Meropenem Other - Free text Prothionamide Rifampicin + Tigcycline Trimethoprim
19 Top 5 Antimicrobial Agents Administered in 2017 by Patient Episode Agent Treatment Days Saved Patient Episodes Ceftriaxone Ceftazidime Teicoplanin Meropenem Ertapenem
20 Ceftriaxone data Combinations Ceftriaxone Ceftriaxone + Clindamycin Ceftriaxone + Ciprofloxacin Ceftriaxone + Metronidazole Ceftriaxone + Rifampicin Ceftriaxone + Ciprofloxacin + Clindamycin Ceftriaxone + Ertapenem Ceftriaxone + Rifampicin + Teicoplanin Ceftriaxone + Ciprofloxacin + Rifampicin Ceftriaxone + Ciprofloxacin + Teicoplanin Ceftriaxone + Daptomycin Ceftriaxone + Fusidic Acid Ceftriaxone + Gentamicin Ceftriaxone + Levofloxacin Ceftriaxone + Linezolid Ceftriaxone + Teicoplanin Treatment Days Saved Episodes
21 Services Contributing 2017 Data Total 25 centres: 22 England 3 Scotland 0 Wales 0 Northern Ireland 0 Southern Ireland M
22 SERVICE NAME Airedale NHS Foundation Trust, Community IV pathway Birmingham Heartlands Hospital Buckinghamshire Healthcare OPAT service Calderdale Royal Hospital Durham and Darlington NHS Trust Great Western Hospital, Swindon Guy's and St Thomas' Hospital NHS Trust Harefield Hospital OPAT Imperial College Healthcare NHS Trust Kettering Diabetic Foot OPAT pilot service Leeds Locala IV Team Nottingham University Hospitals NHS Trust Portsmouth Out of Hospital Services Royal Liverpool and Broadgreen University Hospitals Trust Royal National Orthopaedic Hospital Sheffield Children's Hospital St Mary's Hospital, Newport, Isle of Wight The James Cook University Hospital, Middlesbrough University College Hospital Wirral OPAT Service - Arrowe Park Hospital Wythenshawe Hospital, Manchester University NHS Trust Total Treatment Days Saved Episodes Count
23 Aberdeen Royal Infirmary Leeds (Adult, Teaching, Hospital site) Airedale NHS Foundation Trust (Adult, Teaching, Hospital site) Birmingham Heartlands Hospital Leeds (Adult, Specialist, Hospital site) Buckinghamshire Healthcare OPAT service Leeds (Adult, Teaching, Hospital site) Calderdale Royal Hospital (Adult, Specialist, Primary Care) Durham and Darlington NHS Foundation Trust (Adult, Specialist, Hospital site) Great Western Hospital, Swindon (Adult, Teaching, Hospital site) Greater Glasgow & Clyde (Adult, Teaching, Hospital site) Guy's and St Thomas' Hospital NHS Trust (Adult, Teaching, Hospital site) Harefield Hospital OPAT (Adult, Specialist, Hospital site) Imperial College Healthcare NHS Trust Adult OPAT Service (Adult, Teaching, Hospital site) Kettering Diabetic Foot OPAT pilot service (Adult, Specialist, Hospital site) Leeds (Adult, Teaching, Hospital site) Locala IV Team (Adult, Specialist, Primary Care) Nottingham University Hospitals NHS Trust (Adult, Teaching, Hospital site) Portsmouth Out of Hospital Services (Adult, Teaching, Hospital site) Raigmore Hospital (Adult, Teaching, Hospital site) Royal Liverpool and Broadgreen University Hospitals Trust (Adult, Teaching, Hospital site) Royal National Orthopaedic Hospital (Adult, Specialist, Hospital site) Sheffield Children's Hospital (Paediatric Hospital site) St Mary's Hospital, Newport, Isle of Wight (Adult, Specialist, Hospital site) The James Cook University Hospital, Middlesbrough (Adult, Teaching, Hospital site) University College Hospital (Adult, Teaching, Hospital site) Wirral OPAT Service, Arrowe Park Hospital (Adult, Teaching, Hospital site) Wythenshawe Hospital, Manchester University NHS Foundation Trust (Adult, Teaching, Hospital site) Services contributing 2017 data Adult Teaching Hospital Site: 16 Adult Specialist Hospital Site: 6 Adult Primary Care Site: 2 Paediatric Hospital Site: 1 M
24 NORS development team Mark Gilchrist, Imperial College Healthcare NHS Trust & BSAC OPAT co-chair Carolyn Hemsley, Guy s & St Thomas NHS Foundation Trust Matthew Laundy, St George s University Hospitals NHS Trust Sarah Logan, University College Hospital Sanjay Patel, Southampton Children s Hospital Andrew Seaton, NHS Greater Glasgow and Clyde & BSAC OPAT co-chair Sue Snape, Nottingham University Hospitals NHS Trust M
25 NORS Enquiries & Support
26 OPAT Data Management Systems: The OPAT Service Directory e-opat.com/service-directory-list/
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