Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Abstract© 2018 Society of Hospital Medicine.
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BackgroundObjectiveDesign, Setting, PatientsInterventionMeasurementsConclusions© 2018 Society of Hospital Medicine.
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Abstract© 2018 Society of Hospital Medicine.
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Outpatient parenteral antimicrobial therapy (OPAT) programs can provide high-value care but may be challenging in people who inject drugs (PWID) and homeless individuals. We conducted a single-center, retrospective, cohort study of adults who received OPAT at an urban, public health hospital from January 1, 2015 to April 30, 2016, grouped by PWID and housing status. Outcomes included clinical cure, length of stay, secondary bacteremia, line-tampering, and readmission. ⋯ Housed PWID were also less likely to achieve cure (OR = 0.37, 95% CI 0.20-0.67; P = .001). Cure rates did not differ in patients not lost to follow-up. OPAT can be effective in PWID and the homeless, but loss to follow-up is a significant barrier.