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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - Timely Antibiotics for Children With Severe Sepsis or Septic Shock
1
Timely Antibiotics for Children … Antibiotic therapy should be started within the first hour of recognition of severe sepsis or septic … Recent work by Ferrer and colleagues sought to evaluate the
relationship between timing of antibiotic … The use of pediatric shock protocols that emphasize timely antibiotic therapy and fluid
resuscitation … For antibiotics received elsewhere (i.e., a child received parenteral antibiotics prior to or during
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - Slide 2
Problems With Taking Antibiotics
SAY:
Slide 3
Antibiotic Resistance
SAY:
The sad fact … Not only that, but the antibiotic development pipeline is dry. … Yet if antibiotic resistance does develop, it will limit the effective lifespan of the drug. … Other areas of antibiotic overuse are veterinary care, food production, and aquaculture. … Our last module will then provide some guidelines on antibiotic selection.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/140-ssi-investigation-tool-cusp-completed.docx
April 01, 2025 - Yes No
Prophylactic Antibiotics:
Did the patient receive appropriate antibiotic selection, dosing … Yes No R
What antibiotic dose was given? … Yes No
Antibiotic 2 dose:
Appropriate dose? … Antibiotic 1
Administration time: 0600
Antibiotic 2
Administration time:
Case duration:
Case duration … Not required with vancomycin
Antibiotic 1
First redose time:
Second redose time:
Antibiotic 2
First
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
October 01, 2016 - Slide 4
Problems With Antibiotics
SAY:
Antibiotics are great for treating bacterial infections. … But can you think of any problems with antibiotics? … Slide 7
Few New Antibiotics
SAY:
At the same time, not only are antibiotics not working as well because … If the prescribing clinician elects to start antibiotics, this is where you would document which antibiotic … It also allows for more than one antibiotic.
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www.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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www.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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotics-brochure-english.docx
September 01, 2022 - Antibiotics: When Do You Need Them? … Patient Brochure (English)
Antibiotics: When Do You Need Them?
AHRQ Pub. … Antibiotics – Patient Handout
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
Antibiotics … – Patient 2 Handout
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2c-SBAR_SST_Final.pdf
June 01, 2014 - __________________________________
¨ No ¨ Yes Advance directives for limiting treatment related to antibiotics … The criteria are met to initiate antibiotics if one of situations below are met
No Yes
¨¨ ¨ 1. … The resident may have a skin and soft tissue infection and
need a prescription for an antibiotic agent … The resident does NOT need an immediate
prescription for an antibiotic, but may need additional observation … Antibiotic 1 __________________________________ Dose ________ Route ________ Duration ________
Antibiotic
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
October 01, 2024 - Slide 6
Antibiotic Resistance
SAY:
MRSA infections increase the use of antibiotics, which puts further … Antibiotic pressure, caused by treating patients with courses of antibiotics with activity against S. … This antibiotic pressure can also induce the expression of antibiotic resistance genes in S. aureus, … Antibiotic stewardship aims to optimize the use of antibiotics by ensuring antibiotics are prescribed … Overuse and misuse of antibiotics are primary contributors to the emergence of resistance.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
October 01, 2016 - But can you think of any problems with antibiotics? … Bad Bugs, No Drugs: As Antibiotic Discovery Stagnates…A Public Health Crisis Brews. … of MDROs, we do not have enough antibiotics in development. … They address followup and care, and—if appropriate—antibiotics. … If the prescribing clinician elects to start antibiotics, this is where you would document which antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Effective communication helps bring about proper use of antibiotics. … The provider may feel pressured to prescribe antibiotics. … , so antibiotics will not be helpful, and antibiotics can cause unpleasant side effects.” … I think we need to stop the antibiotic now.” Dr. … He should not be on this antibiotic.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - *
Quality Improvement for Antibiotic Prescribing
Problems with taking antibiotics
Drug resistance … Not only that, but the antibiotic development pipeline is dry. … Furthermore, because of concerns about antibiotic resistance, use of new agents is discouraged by the … Yet if antibiotic resistance does develop, it will limit the effective lifespan of the drug. … Other areas of antibiotic overuse are veterinary care, food production, and aquaculture.
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www.ahrq.gov/hai/telemedicine/index.html
June 01, 2024 - project is a national effort to develop and implement a bundle of evidence-based interventions to improve antibiotic … Program for Telemedicine will work directly with healthcare providers to ensure the appropriate use of antibiotics … subject matter experts in the following areas: Understanding the science of safety and how it applies to antibiotic … Designing and implementing interventions to improve antibiotic use within a telemedicine setting. … participants in this 4-year project will be compiled into a toolkit, allowing other providers to improve antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Discussing Infection Concerns About Residents With … We will review strategies to discuss the potential harms of antibiotic use with family members. … Then, we will address end-of-life care as it relates to antibiotic use. … Slide 2
Social Pressure Can Drive Antibiotic Prescribing
SAY:
Social pressure can drive antibiotic … prescribing antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
October 01, 2016 - Nursing homes serve
as one of our most fertile breeding grounds for antibiotic-resistant strains of … bacteria—a very
high rate of antibiotic use gives rise to multidrug-resistant organisms, including … more likely to develop Clostridium difficile infection within the 3 months following their course
of antibiotics … .8
Embedded in the Suspected UTI SBAR form is our new protocol for initiating antibiotics
for UTIs … Development of minimum criteria for the
initiation of antibiotics in residents of long-term-care facilities
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/respiratory-assess.html
June 01, 2021 - Identify indications for antibiotics and supportive care measures for residents with a cough. … Review testing, empiric treatment options, and reasonable durations of antibiotic therapy for pneumonia … Discuss opportunities for de-escalation of antibiotic therapy for pneumonia using results of diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-one-pager.pdf
September 01, 2022 - to pediatric otolaryngology if the child is not ill appearing but has persistent symptoms
despite antibiotic … Antibiotics Antibiotics Antibiotics
6 months to < 2 years Antibiotics
Antibiotics Antibiotics … Antibiotics or
observation
2 years and older Antibiotics
Antibiotics Consider observation … AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care Acute Otitis Media 2 … Antibiotic
recommendations for acute otitis media and
acute bacterial sinusitis: Conundrum no more.
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www.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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