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Outpatient Intravenous Antibiotic Therapy (OPAT)

When you're ready to go home from the hospital but still need parenteral medications (given by IV or injection) or specific oral antimicrobial medications (taken by mouth), we can help. 

 

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Making at-home recovery safe + convenient

We understand that receiving antimicrobial medications that need to be injected through your vein or into your muscle can be a challenging part of recovering from an infectious disease. That's why outpatient parenteral antimicrobial therapy (OPAT) may be so important to your care.  

With OPAT, you can receive intravenous (IV), intramuscular (IM) or certain oral antimicrobial therapy in a safe and comfortable environment — at home, in a rehab center or a nursing facility. Your health and well-being are our top priority, and we're committed to helping you get back to feeling your best as quickly as possible. 

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Conditions

Getting the right medicine quickly and safely is important for treating many infectious diseases and could be critical to your care and healing. We treat several infectious diseases including: 

Abdominal infection
Bone infections
Endocarditis
Joint infections
Mycobacterial disease
Skin and soft tissue infections
Tuberculosis
Urinary tract infections
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Treatments

If you need antimicrobial therapy for an infectious disease, our goal is to ensure the best health outcome while minimizing or avoiding a hospital stay altogether. 

Your OPAT team will include physicians, nurse practitioners and coordinators who work closely with your broader care team to ensure you get the correct antimicrobial treatment and appropriate in-person and laboratory monitoring. We’ll create a personalized treatment plan to address your infection while also considering your daily life and needs. By monitoring your long-term care plan, we can evaluate your progress and provide any additional treatments as necessary.

Depending on the care you need, we will coordinate with: 

Through OPAT we also provide treatment if you:  

  • Inject drugs: Our infectious disease experts work side-by-side with experts in addiction medicine. If you are in OPAT, you may be able to receive care for opioid use disorder during the same appointment. 
  • Need to treat or prevent HIV: Treating or preventing HIV infection using long-acting injectable antiretroviral therapies can be administered at home. 
  • Need support for an organ transplant: We can treat you either before and after your liquid or solid organ transplant if you need parenteral and certain oral antimicrobial medications.  

FAQs

What should I do if I have any issues with my IV line or infusions?

If this happens during standard office hours, call us for help at 617.636.6368. Depending on the situation, we might be able to help you by coordinating a home nurse visit or advising you to go to the emergency department for support.  

If you have a visiting nurse or infusion company delivering your OPAT medications, you might be able to speak to their on-call nurse or pharmacist to walk you through troubleshooting steps. If you continue to have difficulty or cannot infuse antimicrobial agents, please visit your closest emergency department and inform them of your issue and when your next antimicrobial dose is due. 

What should I do if I have any questions outside of business hours?

If this is a medical emergency and you require immediate assistance, please call 911 or head to your nearest emergency department.

If you have missed any antibiotic doses or will need a dose soon, please notify the emergency department once you arrive. They may be able to start an infusion while you wait for care.

What should I do if I have questions that are not about my infection or OPAT?

Questions not about your infection or OPAT should be directed to your primary care provider (PCP) or relevant specialist already involved in your care. If you are experiencing a medical emergency, please call 911 or go to your nearest emergency department. 

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