Geographic Medicine and Infectious Diseases

Outpatient Intravenous Antibiotic Therapy (OPAT) Program

The Tufts Medical Center’s OPAT program was created in 2009 to better systematize the transition from the inpatient to the outpatient setting for patients needing long-term parenteral antimicrobial agents. Since its creation, OPAT has grown considerably. While most patients cared for in the OPAT program enter from the inpatient setting, in certain scenarios, OPAT can arrange for outpatient start of intravenous antimicrobial therapy and therefore avoid admission. OPAT’s goal is to ensure the best possible health outcomes for patients being treated for an infectious disease condition warranting IV or high risk oral antimicrobial therapy, decrease length of hospital stay or avoid hospital stay, reduce overall healthcare costs, prevent hospital readmissions, and allow patients to resume activities of daily living faster. The Tufts Medical Center OPAT team strives to make utilization of our program as easy and seamless as possible, while using innovative approaches to improve patient outcomes.

Making it safe and convenient for patients to get intravenous antibiotics at home

Our OPAT team works with the companies and facilities involved in your care to ensure you are getting the correct antibiotic(s) and appropriate in-person and laboratory monitoring as an outpatient. Depending on the care you need, we will communicate with your dialysis/infusion center staff, rehabilitation/skilled nursing facility nurses, home infusion company, and/or visiting nurse association. We will closely monitor your personalized long-term care plan and collaborate with your various highly qualified Tufts Medical Center and external physicians to evaluate your progress and coordinate any additional treatments as necessary.

As your main outpatient liaison for home intravenous antimicrobial therapy, we can promptly address any complications or questions from you or your care team and relay messages to the team members involved in your care. Our OPAT team uses a comprehensive and coordinated approach focused on details so that you can focus on getting well.

If you are referred to the OPAT program as an outpatient, our team will check insurance coverage, coordinate start of home care with all the necessary organizations, and reach out to you once we have a plan in place.

If you are a patient on our OPAT program with any questions about your care, please feel free to reach us at 617-636-6368. Additional information about how to contact us can be found on the right side of this website page.

FAQ

  1. What should I do if I have any issues with my IV line/infusions?
    1. If this is during business hours, please call us at 617-636-6368. We may be able to help you avoid an Emergency Department visit by coordinating a home nurse visit or arranging for you to be seen in our outpatient infectious diseases clinic.
    2. If this is outside of business hours or on a weekend/holiday, please call our Tufts Medical Center page operator at 617-636-5114 and ask to speak to the ID fellow on call. If you have a visiting nurse company or an infusion company delivering antibiotics, you might be able to speak to their on-call nurse or pharmacist to walk you through trouble shooting steps. If you are still having difficulty and/or are unable to infuse antimicrobial agents, please head to your nearest emergency room and let the staff know the time that your antimicrobial dose was due.
  2. What should I do if I have any questions outside of business hours?
    1. If this is a medical emergency and you require immediate assistance, please call 911 or head to your nearest emergency room. If you have missed any antibiotic doses or will need a dose soon, please notify the emergency department staff as they may be able to get an infusion started while you wait for care. If you believe this is an issue that may wait a few hours, please see below.
    2. For any urgent questions outside of regular business hours/holidays, please call our Tufts Medical Center page operator at 617-636-5114 and ask to speak to the ID fellow on call. If this is a non-urgent question, you can leave a voicemail on our confidential phone line at 617-636-6368 and we will call you back when we return to office. Please include your full name, a brief message about your question, and the best phone number for contacting you.
  3. What should I do if I have non-infectious disease-related questions?
    1. If this is a medical emergency and you require immediate assistance, please call 911 or head to your nearest emergency room.
    2. Most questions that are not related to your infection or home intravenous antibiotic therapy can be directed to your PCP or relevant specialist. If you are unsure who to call, please feel free to reach out to us at 617-636-6368 and we will do our best to direct you to the appropriate providers and services.
Tine Vindenes, MD
OPAT Director
Tine Vindenes, MD, MPH
Yuran Tsuchida
Lead OPAT Program Specialist
Yuran Tsuchida

Geneve M. Allison, MD, MSc, FACP

Geneve M. Allison, MD, MSc, FACP

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LGBTQ+ Health

Virtual Appointments Available

Title(s): Associate Professor, Tufts University School of Medicine; Fellow, Infectious Diseases Society of America
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7761
Fax #: 617-636-3198

General Infectious Diseases, Wound Healing, Hyperbaric Oxygen

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Gabriela M. Andujar Vazquez, MD

Gabriela M. Andujar Vazquez, MD

Accepting New Patients

LGBTQ+ Health

Title(s): Attending Physician; Assistant Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

General and transplant infectious diseases, antimicrobial stewardship, infection control and travel medicine

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Jose A. Caro, MD

Jose A. Caro, MD

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Accepting New Patients

LGBTQ+ Health

Virtual Appointments Available

Title(s): Attending Physician; Assistant Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-8525

HIV/AIDS, PrEP, human papilloma virus and anal dysplasia, sexually transmitted infections, general infectious diseases

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Yoav Golan, MD, MS, FIDSA

Yoav Golan, MD, MS, FIDSA

Accepting New Patients

Virtual Appointments Available

Title(s): Attending Physician; Associate Professor of Medicine, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

General infectious diseases, C. difficile, infections in immunocompromised hosts, infections in returning travelers

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James Hellinger, MD, MSc

James Hellinger, MD, MSc

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Accepting New Patients

Title(s): Attending Physician
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

Infectious diseases, HIV/AIDS, travel medicine, HIV/HCV co-infection

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Mary Hopkins, MD

Mary Hopkins, MD

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Accepting New Patients

Title(s): Director, Infectious Diseases Clinic
Department(s): Medicine, Infectious Disease
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

TB infection, HCV treatment

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Laura Kogelman, MD

Laura Kogelman, MD

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Accepting New Patients

LGBTQ+ Health

Virtual Appointments Available

Title(s): Director, Infectious Diseases Clinic; Director, Traveler's Health Service; Associate Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

HIV, pre-exposure prophylaxis for HIV, post-exposure prophylaxis for blood-borne pathogens, traveler's health and tropical medicine, general infectious diseases

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Rakhi (Teena) Kohli, MD, MS

Rakhi (Teena) Kohli, MD, MS

Accepting New Patients

Virtual Appointments Available

Title(s): Attending Physician; Assistant Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-1580

Transplant infectious diseases, HIV infection and insulin resistance

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Natalie E. Nierenberg, MD, MPH

Natalie E. Nierenberg, MD, MPH

Accepting New Patients

Virtual Appointments Available

Title(s): Medical Director, Inpatient Wound Prevention and Management; Attending Physician; Assistant Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7761
Fax #: 617-636-3198

Transplant infectious diseases, wound care at the Center for Vascular Medicine, Wound Healing & Hyperbaric Medicine, travel medicine, general infectious disease

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David R. Stone, MD

David R. Stone, MD

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Accepting New Patients

Virtual Appointments Available

Title(s): Attending Physician; Co-Director of the Mycobacteria Treatment Clinic; Associate Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

HIV treatment, tuberculosis and atypical mycobacteria care

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Andrew Strand, MD

Andrew Strand, MD

Accepting New Patients

Virtual Appointments Available

Title(s): Attending Physician; Assistant Professor, TUSM
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

Transplant infectious disease

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Tine Vindenes, MD, MPH

Tine Vindenes, MD, MPH

Accepting New Patients

LGBTQ+ Health

Virtual Appointments Available

Title(s): Attending Physician; Assistant Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

HIV/AIDS, pre-exposure prophylaxis for HIV, tuberculosis (TB), NTM, general infectious diseases, public and global health, LGBTQ health including: HIV/STD/STI testing and counseling, provision of PrEP and/or PEP for patients at risk for HIV, HIV care and services

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Alysse Wurcel, MD, MS

Alysse Wurcel, MD, MS

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Accepting New Patients

LGBTQ+ Health

Virtual Appointments Available

Title(s): Attending Physician; Assistant Professor, Tufts University School of Medicine
Department(s): Medicine, Geographic Medicine and Infectious Diseases
Appt. Phone: 617-636-7010
Fax #: 617-636-7100

Infectious diseases, HIV, hepatitis C, HIV pre-exposure prophylaxis, sexually transmitted diseases

View Full Profile for Alysse Wurcel, MD, MS

Our OPAT program is carefully designed to ensure the safety of your patients as they receive intravenous antimicrobial therapy in their homes, infusion centers or rehabilitation centers. Your patients will receive care that is tailored to meet their individual needs.

In order to manage this complex level of care, we work with various organizations to ensure that the appropriate tests are being performed and that the results get to the doctors who need to review them. We also work closely with home infusion providers to ensure that the right antimicrobial agents are being delivered and that adjustments to the antimicrobial plan are made as needed.

Throughout our treatment of your patients, we stay in close contact with you so that you will know what care is being provided to your patients.

If you are a provider looking to start one of your patients on outpatient intravenous antibiotic therapy, please reach out to us at OPAT@tuftsmedicalcenter.org for more information on how to start a referral. You can also call us at 617-636-6368 and send any relevant patient documents to 617-636-3198.