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www.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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - meet guidelines for treatment, and we have several residents who have suffered adverse events from antibiotics … This has resulted in missed lab results showing adverse effects of antibiotics, such as worsening kidney … on antibiotics.
· The team works with the nurse managers to develop a communication tool for nurses … to use to talk about antibiotics.
· Two months after launching the tool, the antibiotic stewardship team … There are good posters highlighting the importance of using antibiotics carefully to avoid unnecessary
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - Working With Your Lab To Improve Antibiotic Prescribing
Overview of the Toolkit
How can a lab … help improve antibiotic prescribing at your nursing home? … suspected of having an infection along with the percent susceptibility of each organism to various antibiotics … antibiogram report helps prescribing clinicians make better, empirically-based decisions by avoiding antibiotics … What Is the Working with Your Lab to Improve Antibiotic Prescribing Toolkit?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
June 01, 2021 - Last time this
happened, the
doctor prescribed
an antibiotic and
he felt better. … • Many older people get an antibiotic for UTI treatment even though they
do not have symptoms of … • Sometimes feeling better after an antibiotic is not due to the antibiotic,
but instead due to improved … • Antibiotics do not help when there are no UTI symptoms, and we have
newer data indicating that … taking antibiotics when there is not an infection
can be harmful
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
June 01, 2021 - Last time this
happened, the
doctor prescribed
an antibiotic and
she got better. … • Symptoms of a respiratory infection that may indicate the need for an
antibiotic are a fever with … • Antibiotics will not help if she has a virus. … • Taking antibiotics when there is not an infection can be harmful. … • If something changes and she shows other signs or symptoms of a
bacterial infection, an antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.pdf
October 01, 2016 - clinicians, the medical director can
review the antibiogram and create a statement regarding which antibiotics … Antibiograms have been shown to improve the appropriate use of antibiotics by providing the
actual susceptibilities … The remaining columns of the
antibiogram are the antibiotics that were tested and the organisms’ susceptibilities … Toolkit 1/Tool 4 5
Sample cautionary statement regarding antibiotic resistance
CAUTION: Antibiotic … We recommend avoiding these antibiotics for empiric usage.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - When antibiotics were
not prescribed, students often went directly from the
Student Health Center to … a local urgent care facility to get
antibiotics. … Their goals were to
increase decisional comfort with the appropriate use of
antibiotics, maintain or … prescribing for RTIs,
Taking an Antibiotic or Not? … They selected To Take Antibiotics or Not?
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www.ahrq.gov/news/newsletters/e-newsletter/946.html
February 01, 2025 - New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment
Issue Number
946 … Today's Headlines: New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment . … New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment More careful use of antibiotics … to measure how often and for how long hospitals prescribe antibiotics at discharge. … This shift could improve care and reduce reliance on other antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.docx
October 01, 2016 - clinician]
This [quarterly / monthly] report is provided for your reference as we continue to monitor antibiotic … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home residents … Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17. … This report provides information regarding your prescriptions for antibiotics for residents over the … Resident Name
Infection Type/ Diagnosis
Last Treated
Organism Identified
Rx Date
Rx Duration
Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.pdf
October 01, 2016 - clinician]
This [quarterly / monthly] report is provided for your reference as we continue to monitor
antibiotic … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home
residents … This report provides information regarding your prescriptions for antibiotics for residents over
the … for your information only and is meant to help you
maintain an awareness of trends in infections and antibiotic … Infections and antibiotic resistance in nursing homes. Clin Microbiol
Rev. 1996 Jan;9(1):1-17.
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T6-Using_Nursing_Home_Antibiograms_to_Choose_the_Right_Antibiotic_Data_Entry_Form.xlsx
May 01, 2014 - No. 14-0012-6-EF
Helpful Hints
Using Nursing Home Antibiograms to Choose the Right Antibiotic
Tool … AHRQ 14-0012-6-EF 1/2014
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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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-1-ef.pdf
November 01, 2015 - Timeliness of Confirmatory Testing for Sickle Cell Disease: Timeliness of Antibiotic Prophylaxis for … a
newborn screen
positive for sickle cell
anemia who received
appropriate preventive
antibiotic … Prompt
initiation and consistent use of antibiotics in young children with sickle cell anemia increases … sickle cell
anemia be started on twice-daily penicillin as early as possible and remain on preventive antibiotics … Prophylactic antibiotics for preventing pneumococcal infection in children with sickle cell disease.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T4-Concise_Antibiogram_Toolkit_How_to_Enter_Data_Manually_into_an_Antibiogram_Template.pdf
May 01, 2014 - %) susceptibilities
based on 20 isolates should still give a general idea of how effective various antibiotics … Only include percent (%) susceptibilities for antibiotics where at least 70 percent of
the isolates … Different isolates of an organism are not always tested for
susceptibilities to the exact same antibiotics … Because of this uncertainty, we recommend
you only include percent (%) susceptibilities for antibiotics … So, in the example, percent (%)
susceptibilities for antibiotics which about 20 or more E. coli isolates
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www.ahrq.gov/nhguide/index.html
Home Antimicrobial Stewardship Guide provides toolkits to help nursing homes optimize their use of antibiotics … Choose the Right Antibiotic
Three toolkits describe how to work with a lab and use an antibiogram. … Toolkits
The toolkits cover a variety of interventions that nursing homes can use to improve antibiotic … Antimicrobial Stewardship Program
Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics … Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents and
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.docx
October 01, 2016 - clinicians, the medical director can review the antibiogram and create a statement regarding which antibiotics … Antibiograms have been shown to improve the appropriate use of antibiotics by providing the actual susceptibilities … The remaining columns of the antibiogram are the antibiotics that were tested and the organisms’ susceptibilities … 4 2
Sample cautionary statement regarding antibiotic resistance
CAUTION: Antibiotic Resistance Trends … We recommend avoiding these antibiotics for empiric usage.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/063-ssi-investigation-tool-cusp.docx
April 01, 2025 - Yes No
Prophylactic Antibiotics
Did the patient receive appropriate antibiotic selection, dosing … Yes No
Which antibiotic(s) were selected?
Antibiotic 1:
Appropriate for procedure? … Yes No
Antibiotic 2:
Appropriate for procedure?
Yes No
What antibiotic dose was given? … Antibiotic 1
Administration time:
Antibiotic 2
Administration time:
Case duration:
Case duration … Antibiotic 1
First redose time:
Second redose time:
Antibiotic 2
First redose time:
Second redose
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www.ahrq.gov/antibiotic-use/acute-care/improve/program-part1.html
November 01, 2019 - Antibiotic Stewardship Program Development (Part 1)
After viewing or presenting this presentation … viewers will be able to—
List the key personnel involved in developing an Antibiotic Stewardship
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase_4_Monitoring.pdf
May 01, 2014 - Infections and antibiotic
use generally are monitored through the nursing home’s infection-control … antibiotics and (2) the use of broad- versus narrow-spectrum antibiotics. … Action Checklist
Quality-Improvement Program
• Add monitoring of antibiotic prescribing patterns to … Materials Included
Quality Assurance
• Antibiotic Use Tracking Sheet
• Quality-Improvement Review … Tool for Antibiotic Use in Urinary Tract Infection
Monitoring
• Prescribing Clinician Feedback Survey
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase4_Monitoring.doc
January 01, 2005 - Infections and antibiotic use generally are monitored through the nursing home’s infection-control log … antibiotics and (2) the use of broad- versus narrow-spectrum antibiotics. … Action Checklist
Quality-Improvement Program
· Add monitoring of antibiotic prescribing patterns to … Materials Included
Quality Assurance
· Antibiotic Use Tracking Sheet
· Quality-Improvement Review Tool … for Antibiotic Use in Urinary Tract Infection
Monitoring
Prescribing Clinician Feedback Survey
� Furman