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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-technical-specifications.pdf
November 26, 2013 - Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic … Detailed Measure Specifications
Sickle Cell Disease
Measure 2: Timeliness of Antibiotic Prophylaxis … of children with a newborn screen positive for sickle cell disease (SCD) who received
appropriate antibiotic … Erythromycin
Erythromycin estolate
Erythromycin ethylsuccinate
Erythromycin stearate
Miscellaneous antibiotics … Numerator Eligible children who received appropriate antibiotic prophylaxis at ≤ 90 days of
age.
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www.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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www.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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www.ahrq.gov/research/findings/final-reports/ssi/ssiapc.html
April 01, 2018 - ANTIBIOTIC
Include all antibiotics that were given one month before or after surgery … ANTIBIOTIC
ABX_ID
Integer
A unique ID for the antibiotic
ANTIBIOTIC
NAME
Varchar(64) … The name of the antibiotic given
ANTIBIOTIC
DOSE
Varchar(64)
The dose of the antibiotic … ANTIBIOTIC
FREQUENCY
Varchar(64)
The frequency of the antibiotic
ANTIBIOTIC
START_DTM … Date
The date of when the antibiotic treatment began
ANTIBIOTIC
DC_DTM
Date
The date
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-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 should the practice measure compliance with the guidelines that we develop around antibiotic prescribing … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-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 support clinicians in consistently avoiding prescribing antibiotics for acute bronchitis … How will the practice track data on acute bronchitis and antibiotic prescribing?
4. … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.pdf
October 01, 2016 - RECIPIENT ADDRESS
CITY, STATE ZIP]
Re: Change in protocol regarding three common infections and antibiotic … Antibiotic treatments do not affect the prevalence of bacteriuria, the
frequency of symptomatic urinary … Nursing homes serve as one of our most fertile breeding grounds for antibiotic-resistant strains
of … Antibiotic use in nursing
homes. Get Smart About Antibiotics Week November 18–2013. … Urine cultures should be used to identify the most appropriate antibiotic.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
October 01, 2016 - Stewardship in Nursing Homes
CDC’s About Antimicrobial Resistance
CDC’s Antibiotic Resistance Threats … 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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www.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - The toolkit provides ways to educate residents and their family members about antibiotics and the risks … 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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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.docx
October 01, 2016 - NAME]
RECIPIENT ADDRESS
CITY, STATE ZIP]
Re: Change in protocol regarding three common infections and antibiotic … Antibiotic treatments do not affect the prevalence of bacteriuria, the frequency of symptomatic urinary … Antibiotic use in nursing homes. Get Smart About Antibiotics Week November 18–2013. … Urine cultures should be used to identify the most appropriate antibiotic. … Minimum Criteria for Initiating Antibiotics for a Skin and SoftTissue Infection
Initiate antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-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 will members of the practice develop consistent messaging to patients that antibiotic treatment is … How will we track compliance with not prescribing antibiotics for these patients?
AHRQ Pub. … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - At least 25 percent of antibiotic prescriptions in nursing homes do not meet clinical guidelines for … This use and overuse of antibiotics results in side effects and drug-resistant bacteria. … Training increases staff understanding of inappropriate antibiotic use and of the tools available to … Training should include information about inappropriate antibiotic use, a description of the tools and … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T5-Training_Slides_for_Nursing_Home_Nurses_Phase_3.docx
May 01, 2014 - Slide 1
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic … SAY:
Antibiotics are the most commonly prescribed medications in nursing homes. … The use of antibiotics can lead to problems. … As an example, the first column is the antibiotic tested, in this case Cipro. … SAY:
Slide 8
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - bacteria
− Recent antibiotic exposure
− History of recurrent urinary tract infections (UTIs)
… 100,000 CFU/mL of a urinary pathogen (most commonly
Escherichia coli)
Treatment
• Do not start antibiotics … UTI in the future3-4
• Review prior urine culture results as previous susceptibility data can guide antibiotic … choice
Condition Antibiotic Options2 Comments
Uncomplicated cystitis2 • Nitrofurantoin
• TMP … Asymptomatic bacteriuria treatment is
associated with a higher prevalence of
antibiotic resistant strains
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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 … 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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www.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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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/uti-assess.html
June 01, 2021 - Discuss opportunities for de-escalation of antibiotic therapy for UTIs after additional clinical data
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - signs and symptoms of infection, patients with jaundice or non-obstructing gallstones do not require antibiotics … infection, patients with biliary colic (i.e., RUQ pain lasting 1–3 hours that resolves) do not require antibiotics … 5-10 days based on clinical response*
Uncomplicated acute cholecystitis, surgical management
No antibiotics … Fever-based antibiotic therapy for acute cholangitis following successful endoscopic biliary drainage … Effect of postoperative antibiotic administration on postoperative infection following cholecystectomy
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/COPD-one-page.pdf
November 01, 2019 - • Antibiotics are recommended for moderate to severe COPD exacerbations. … o Patients admitted for COPD exacerbations usually meet criteria for antibiotic treatment. … alternative agents for a 5-day course depending on risk factors for Pseudomonas
• Prophylactic antibiotics … Comparison of first-line with second-line antibiotics
for acute exacerbations of chronic bronchitis: … Reduced risk
of next exacerbation and mortality associated with
antibiotic use in COPD.
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www.ahrq.gov/nhguide/about/choosing-the-right-toolkit.html
October 01, 2016 - For example, if the nursing home is already monitoring antibiotic use, staff may have identified that … prescribing clinicians are using antibiotics for bacteria that are not usually sensitive to that antibiotic … nursing home may want to select one of the tools designed to help prescribing clinicians choose the right antibiotic … are high rates of prescribing for specific infections or residents referred from hospitals with an antibiotic … Family Members
Low
Suspected UTI SBAR
Working with a Lab to Improve Antibiotic