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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents and … involved with taking antibiotics, including Clostridium difficile (or C. diff) and antibiotic resistance … ( PDF ) ( Word ) and a
Short checklist version. ( PDF ) ( Word )
Resident Information Sheet: Antibiotic-Resistant … given to residents to explain the risks associated with unnecessary antibiotic use to treat a suspected … (tool 5) to help answer questions
Communicate with residents and families about antibiotic-resistant
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-discussion-guide.docx
September 01, 2022 - Infections: Discussion Guidee
During a regularly scheduled staff meeting, the antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … What antibiotics and antibiotic dosages should the practice recommend for treatment of nonpurulent and … What recommendations will the practice make about non-antibiotic therapies for cellulitis?
3. … AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
[Grab your reader’s attention with
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Communicating Infectious Concerns With Antibiotic … The resident is not receiving antibiotics and feels fine. … Start an antibiotic. … I don’t see a need to start him on antibiotics at this time. … He has received 10 days of antibiotics.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-5-table-4.pdf
January 01, 2014 - delay administration of antibiotics. … culture should be obtained prior to antibiotics. … The choice of empirical
antibiotic coverage therapy depends on several
factors related to the patient … The most important finding is the
survival benefit associated with prompt antibiotic
administration … Empiric
antibiotic treatment
reduces mortality in severe
sepsis and septic shock in
the first hour
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team_final.docx
October 01, 2016 - Stewardship in Nursing Homes
CDC’s About Antimicrobial Resistance: A Brief Overview
CDC’s Antibiotic … These champions should have the following qualities:
A basic knowledge of antibiotics
An interest in … An antibiotic prescription induces resistance at the individual level more than the group level. … Pharmacist-led model of antibiotic stewardship in a long-term care facility. … Antibiotic use in nursing homes. 2014 Oct. Publication P-00886.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
October 01, 2016 - would like to talk to you today about when residents or family members request—or pressure you for—an antibiotic … Have you ever had an experience where someone requested an antibiotic for what they thought was a UTI … Potential harms of antibiotics. … Has anyone ever had a discussion about the harms of antibiotics as one of the reasons to avoid antibiotics … Do you think a family member would have continued to request antibiotics?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - would like to talk to you today about when residents or family members
request—or pressure you for—an antibiotic … Have you ever had an experience where someone requested an
antibiotic for what they thought was a UTI … Potential harms of antibiotics. … Has anyone ever had a discussion about the harms of
antibiotics as one of the reasons to avoid antibiotics … Do you think a
family member would have continued to request antibiotics?
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ce.effectivehealthcare.ahrq.gov/pqmp/measures/scd-preventive-antibiotics-newborns.html
August 01, 2021 - Home
Pediatric Quality Measures Program
PQMP Measures
Timeliness of antibiotic … Measure Implementation & Quality Improvement
PQMP Grantees
Timeliness of antibiotic … reviewed August 2021
Page originally created August 2021
Internet Citation: Timeliness of antibiotic … https://www.ahrq.gov/pqmp/measures/scd-preventive-antibiotics-newborns.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-aspiration-pneumonia.docx
June 01, 2021 - Respiratory support
Treatment
· Aspiration event and the resident remains stable2,5
· Antibiotics … residents with a history of infection or colonization with Pseudomonas aeruginosa, consider using an antibiotic … and who have not improved or have worsened, consider a course of antibiotic therapy (as above).2
Prevention … provide thickened liquids at meals if appropriate.2
References
AHRQ Safety Program for Improving Antibiotic … Are antibiotics indicated for the treatment of aspiration pneumonia?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - number of points determines the management approach:
0 or 1 points: GAS unlikely; no testing or antibiotics … 4 points: GAS likely; treat with antibiotics ± obtain a rapid strep test
‒ Reflex bacterial cultures … Antibiotic Therapy (adults and children)1
• First-line therapy for GAS pharyngitis: penicillin or … A 5-day course of the antibiotics listed above is sufficient. … Pharyngitis
AHRQ Safety Program for Improving Antibiotic
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T2-Antibiotic_Use_Tracking_Sheet_Final.doc
October 01, 2016 - Antibiotic Use Tracking Sheet [11x17 format]
Month:
Resident Name/Identifier
Room #
Admit Date
Admit … Other Contributing Factors
Prescribing Clinician (PC)
Prescription Date
Prescription Duration
Antibiotic … Name
Dose
Change of Antibiotic (if needed)
Followup With PC
Followup With Resident/Family
Comments … Antibiotic Use Tracking Sheet [11x14 format]
Month:
Resident Name/Identifier
Room #
Admit Date
Admit … Name
Dose
Change of Antibiotic (if needed)
Followup With PC
Followup With Resident/Family
Notes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
June 01, 2021 - indicates bacterial colonization
and does not require antibiotics … local recommendations to obtain a good
specimen that can be used to diagnose the
infection and guide antibiotic … A contaminated specimen, which may be due
to poor collection techniques, can lead to
unnecessary antibiotic … AHRQ Safety Program for Improving Antibiotic Use
Collecting Bacterial Cultures
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ce.effectivehealthcare.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 … Entry Form—Helpful Hints
Some Helpful Hints for using the spreadsheet template:
Add or delete antibiotics … If your laboratory does not test against a certain antibiotic, delete that column. … Add in antibiotics that are missing. Also change abbreviations to match what your laboratory uses. … The first diagnostic isolate
for each antibiotic per organism is collected.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T6-Using_Nursing_Home_Antibiograms_to_Choose_the_Right_Antibiotic_Data_Entry_Form.docx
May 01, 2014 - Nursing Home Antimicrobial Stewardship Guide
Using Nursing Home Antibiograms To Choose the Right Antibiotic … Data Entry Form—Helpful Hints
Some Helpful Hints for using the spreadsheet template:
Add or delete antibiotics … If your laboratory does not test against a certain antibiotic, delete that column. … Add in antibiotics that are missing. Also change abbreviations to match what your laboratory uses. … The first diagnostic isolate for each antibiotic per organism is collected.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How can the practice develop and implement approaches to standardize when to prescribe antibiotics for … How can the practice develop and implement approaches to standardize non-antibiotic treatment options … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … What are our preferred antibiotics for treating cystitis and pyelonephritis at our clinic? … Are there local laboratories or hospitals our practice can contact to determine antibiotic susceptibilities … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/commitment-poster-english.docx
September 01, 2022 - Commitment Poster (English)
Signatures:
Antibiotics only fight infections caused by bacteria. … Taking antibiotics when you do not need them will NOT make you better. … You will still feel sick, and the antibiotic may give you a skin rash, diarrhea, or a yeast infection … WE COMMIT TO ONLY PRESCRIBING ANTIBIOTICS WHEN THEY WILL HELP YOU
How can you help? … If an antibiotic is not needed, we will explain this to you and will offer a treatment plan that will
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/other-resources.pdf
June 01, 2021 - Care,
provides links to peer-reviewed articles and other information about infections and the use of
antibiotics … .15248
Dental
Article from the Journal of the American Dental Association: “The use of prophylactic antibiotics … stewardship and minimizing the risks of adverse effects of antibiotics are among the key
points highlighted … Prophylactic Antibiotics for Patients With Valvular Heart Disease
AHA/ACC Guideline: 2017 AHA/ACC … Catheter-Associated Urinary Tract Infection
Clostridioides difficile (C. diff) Infections
Dental
Prophylactic Antibiotics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - Practices in the Diagnosis and Treatment of Bacteremia
AHRQ Safety Program for Improving
Antibiotic … Additional blood cultures should be obtained
before starting antibiotics if there is clinical
uncertainty … When considering oral step-down therapy,
antibiotics with high bioavailability like
fluoroquinolones … Carbapenemase enzymes
hydrolyze the beta-lactam ring of beta-lactam
antibiotics, causing them to become … Most patients with pseudomonal bacteremia can
be treated with 10–14 days of antibiotics.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Johns Hopkins also does quite well at discontinuing antibiotics. … The front line said, we’re not always giving the antibiotics at the right time. … So, even though there’s excellent level-one evidence to support the role of antibiotics in preventing … Slide 16: Antibiotic Audit Tool
Say:
This is the antibiotic audit tool. … antibiotics protocol for your hospital.