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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T6-Using_Nursing_Home_Antibiograms_to_Choose_the_Right_Antibiotic_Data_Entry_Form.pdf
May 01, 2014 - Nursing Home Antimicrobial Stewardship Guide
Using Nursing Home Antibiograms To Choose the Right Antibiotic … Toolkit 2: Concise Antibiogram Toolkit
Tool 6: Excel Data Entry Form—Helpful Hints
Some Helpful … You may want to create an antibiogram by floor or only for males. … WHONET needs a date for the culture in order to determine which results will be included in the
antibiogram … The antibiogram will be based on one isolate per resident per year.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T9-Sample_email_for_distribution_of_the_antibiogram_Phase_3.pdf
May 01, 2014 - Toolkit: Phase 3
Sample Email for Distribution of the Antibiogram
Suggested Subject Line: Attached … Antibiogram for [NURSING HOME NAME]
Dear [name of prescribing clinician]:
Attached to this email you … will find an antibiogram for the [NURSING HOME NAME]. … This antibiogram
contains relevant antibiotic sensitivities aggregated across all residents from mm … If you have any questions, please contact [nursing home antibiogram program contact].
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T8-Sample_Pocket_Card_Long_Version_Phase_3.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 3 - Sample Pocket Z-Card Long Version
9” (4 @ 2.25”) x 3.25 … ”
Comprehensive Antibiogram Toolkit: Phase 3 - Sample Pocket Z-Card Long Version
9” (4 @ 2.25”) x 3.25 … ”
Key Findings From the Antibiograms
· Most of our data come from urine cultures: Of 192 cultures … used to make the antibiograms, 93% were urine cultures, 6% were wound cultures, and 1% were sputum cultures … The antibiograms will be most applicable when treating urine infections and systemic infections that
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Checklist for Identifying Nursing Home Specific Antibiogram … Modifications
Wide variation occurs in the format of the antibiogram data provided by laboratories. … minor editing to a series of data results that must be computed and incorporated into a table (see Antibiogram … to be used as a tool to help the nursing home make general modifications to the laboratory-generated antibiogram … insert a disclaimer that organisms with less than 30 isolates should be interpreted with caution (see Antibiogram
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … Toolkit: Phase 2
Checklist for Identifying Nursing Home Specific
Antibiogram Modifications
Wide variation … occurs in the format of the antibiogram data provided by laboratories. … minor editing to a series of data results that
must be computed and incorporated into a table (see Antibiogram … be used as a tool to help the nursing home make general modifications to the laboratory-generated
antibiogram
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 1
Nursing Home Readiness and Resource Assessment
This worksheet … is designed to be used as a tool to evaluate your nursing home’s readiness to implement an antibiogram … Is there corporate support for an antibiogram program? … If the laboratory is unable to generate the antibiogram, are staff at the nursing home experienced with … The time required for developing the antibiogram is negligible if the laboratory has the software to
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … q q
Is there corporate support for an antibiogram program? … q q
Prescribing Are prescribing clinicians interested in and willing to use an antibiogram? … q q
Does the facility have sufficient resources (e.g., time, funds) to develop
the antibiogram … The time required for developing the antibiogram is
negligible if the laboratory has the software to
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T5-Sample_Timeline_Phase_1.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 1
Sample Timeline
Task complete
Year
Months
1
2
3 … Present findings to nursing home/corporate management
Task 2: Antibiogram … Request laboratory data as needed
Develop draft antibiogram …
Modify antibiogram as needed
Task 3: Antibiogram … whether a new policy is required; if so, draft it
Write procedures for antibiogram
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - Slide 8
Common Urinary Pathogens
SAY:
Reviewing your facility’s antibiogram, if available, can … An antibiogram can guide your choice for empiric antibiotics before culture results have returned. … This slide shows just a few lines from a typical antibiogram. … The second shows the minimum inhibitory concentration or MIC and the third shows the interpretation. … Finally, do not use the number in the minimum inhibitory concentration or MIC column.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T3-Sample_Letter_of_Agreement_final.pdf
October 01, 2016 - a Laboratory
[DATE]
[NAME OF LABORATORY]
[ADDRESS OF LABORATORY]
RE: Preparing an Annual Antibiogram … As the administrator of the [NURSING HOME NAME], I am writing to request that you generate an
antibiogram … The antibiogram report should display the antimicrobial percent (%) sensitivities for common organisms … This signed letter serves as authorization to generate the antibiogram report. … Format
The antibiogram report will be provided in the following format(s):
[INSERT SPECIFICATION
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T3-Sample_Letter_of_Agreement_final.docx
October 01, 2016 - Agreement With a Laboratory
[DATE]
[NAME OF LABORATORY]
[ADDRESS OF LABORATORY]
RE: Preparing an Annual Antibiogram … for [NURSING HOME NAME]
Dear [INSERT NAME]:
The [NURSING HOME NAME] is planning to use an annual antibiogram … As the administrator of the [NURSING HOME NAME], I am writing to request that you generate an antibiogram … The antibiogram report should display the antimicrobial percent (%) sensitivities for common organisms … This signed letter serves as authorization to generate the antibiogram report.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Laboratories often produce an “antibiogram” that details what percentage of each type of bacteria are … For example, an antibiogram can tell you that 30 percent of E. coli detected at the laboratory are … A good source for the local antibiogram also might be an infection control practitioner. … Another alternative is to request the antibiograms for urinary tract pathogens from the local hospital … if you don't have antibiograms of cultures from residents in your facility.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
March 01, 2017 - Laboratories often produce an “antibiogram” that details what percentage of each type of bacteria are … A good source for the local antibiogram also might be an infection control practitioner. … If the antibiogram for urinary tract pathogens is not available or identified, you may be able to get … Another alternative is to request the antibiograms for urinary tract pathogens from the local hospital … if you don’t have antibiograms of cultures from residents in your facility.
4.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.doc
June 02, 2025 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Vignettes
The following series of vignettes are similar … Work through the vignettes and discussion questions—first without referring to the antibiogram and then … by referring to the antibiogram.
1. … [After using the antibiogram] How did having the antibiogram help to inform your decisions regarding … What changes, if any, did you make to your action plan because of the antibiogram.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … Work through the vignettes and discussion questions—first without referring to the antibiogram
and … then by referring to the antibiogram.
1. … [After using the antibiogram] How did having the antibiogram help to inform your decisions regarding … What changes, if any, did you make to your action plan because of the antibiogram?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.doc
January 01, 2011 - Comprehensive Antibiogram Toolkit: Phase 4
Quality-Improvement Review Tool for Antibiotic Use
in Urinary … · Significant resistance (<80 percent sensitive) or no significant resistance on the nursing home antibiogram … Tract Infections: Appropriateness
Resistance Pattern
· Significant resistance: The nursing home’s antibiogram … · No significant resistance: The nursing home’s antibiogram shows ≥80 percent sensitivity for the antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … • Significant resistance (<80 percent sensitive) or no significant resistance on the nursing home antibiogram … Tract Infections: Appropriateness
Resistance Pattern
• Significant resistance: The nursing home’s antibiogram … • No significant resistance: The nursing home’s antibiogram shows ≥80 percent sensitivity for the antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T7-Sample_Pocket_Card_Short_Version_Phase_3.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 3 - Sample Pocket Card Short Version (Use Avery #5302 tent cards … )
Antibiogram for MM/DD/YY to MM/DD/YY
[Name of Nursing Home/Name of Laboratory]
Gram Negative … Antibiogram for MM/DD/YY to MM/DD/YY
[Name of Nursing Home/Name of Laboratory]
Gram Negative
Escherichia … Use Avery #5302 tent cards
Use Avery #5302 tent cards
Antibiogram for MM/DD/YY to MM/DD/YY
[Name … Antibiogram for MM/DD/YY to MM/DD/YY
[Name of Nursing Home/Name of Laboratory]
Gram Negative
Staphylococcus
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T1-Monitoring_Sample_Antibiotic_Use_Tracking_Sheet_Phase_4.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 4
Sample Antibiotic Use Tracking Sheet
For month of ______ … Infection type
Treatment start date
Antibiotic name
Broad or narrow spectrum
UTI/pneumonia: adherent to antibiogram
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T6-Sample_Laboratory_Data_Printout_Phase_2.pdf
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Laboratory Data Printout
Note. … NH-ASPGuide ● May 2014
AHRQ Pub No. 14-0022-7-EF
http://www.ahrq.gov/NH-ASPGuide
Comprehensive Antibiogram