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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Resident With a Suspected Respiratory Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … Bordetella is the only one of these that requires antibiotic treatment.3
‹#›
Assessment of RTI
12 … His daughter asks you for some antibiotics to make her dad’s cough go away. … Antibiotics are great at making coughs go away. … He has bacterial pneumonia and needs antibiotics.
Case 3: Peter, Diagnosis?
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www.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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www.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Antimicrobial Stewardship Modules are field-tested, evidence-based modules that can help nursing homes develop antibiotic … stewardship programs to help them use and prescribe antibiotics appropriately. … Appropriate antibiotics use can reduce antimicrobial resistance and help retain the effectiveness of … Toolkit To Improve Antibiotic Use in Long-Term Care helps nursing homes improve antibiotic stewardship
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - Broad spectrum antibiotics should
be given even if these tests cannot be performed
(p. 28). … analysis and other cultures
as indicated), and prompt administration of a
broad‐spectrum parenteral antibiotic … Relatively high doses (75‐100
mg/kg) are sometimes recommended in regions
with high prevalence of antibiotic … • Parenteral antibiotics should be
given before other procedures. … SCD with a fever greater than or
equal to 38.5 degrees C should be given
parenteral broad spectrum antibiotic
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - (choose one)
Patient developing symptomatic CAUTI
Patient being given inappropriate antibiotics … Slide 7
Polling Question 2: Multidrug Resistant Organisms (choose one)
Antibiotic resistance … is associated with $20 billion direct healthcare cost per year
Antibiotic resistance is associated … with about $1 billion direct healthcare cost per year
Developing new antibiotics is more important … It is s bar chart showing percentage of CAUTI isolates testing resistant to multiple antibiotics.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - prostheses (constrained and hinged)
Comorbidities (increased Charlson index)
Lack of use of antibiotic … Intraoperative
Surgical factors
Prophylactic antibiotics
Skin preparation
Draping … Charging scalpel blades
Antibiotic irrigation solution
Bleeding control
… Antibiotic cement
Skin closure
Dressing
Surgical team
Gloves
Personalized … Dealing with persistent draining wounds
Late
Antibiotics before dental, genitourinary
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Staff Safety Assessment
PURPOSE OF THIS FORM: … To discuss issues that may result in antibiotic-associated adverse events or have the potential to cause … you think the next resident at your facility will be harmed by an event related to administration of antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-6-tables-5-6.pdf
June 02, 2025 - Numerator/
Eligibility Criteria
Number of Records Reviewed N Agreed (%) Kappa Statistic
Hospital #1 Antibiotic … Treatment 0 ‐ ‐
Hospital #1 Fever Criterion 3 100% 1.00
Hospital #2 Antibiotic Treatment 4 100% 1.00 … Hospital #2 Fever Criterion 7 100% 1.00
Hospital #3 Antibiotic Treatment 10 100% 1.00
Hospital #3 … Fever Criterion 19 84% 0.68
All Sites Antibiotic Treatment 14 100% 1.00
All Sites Fever Criterion
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-asymptomatic-bacteriuria.pdf
June 01, 2021 - Treatment
• The majority of people with ASB and/or asymptomatic pyuria SHOULD NOT be treated with antibiotics … • Treatment of ASB is associated with adverse events related to antibiotic use and can increase the … likelihood of developing future UTIs that are antibiotic resistant … Asymptomatic
bacteriuria treatment is associated with a higher
prevalence of antibiotic resistant strains … Development of minimum criteria for the initiation of
antibiotics in residents of long-term-care facilities
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
October 01, 2024 - Antibiotic pressure can selectively induce increased antibiotic resistance in S. aureus strains, leading … Antibiotic stewardship aims to optimize the use of antibiotics to ensure they are prescribed appropriately … Antibiotic Stewardship
Antibiotics are lifesaving drugs, but a significant amount of antibiotics in hospital … use by using coordinated interventions to improve and measure the appropriate use of antibiotics. … Team Antibiotic Review Form
Antibiotic Time Out Tool
All resources can be accessed in the Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T1-Suggested_Agenda_for_Meeting_on_Monitoring_Final.pdf
October 01, 2016 - (a) Examples of simple measures: (1) the rate of antibiotic use (e.g., the number of
fluoroquinolones … (b) Examples of moderately complex measures: (1) number of antibiotic
prescriptions divided by the number … with prescribing criteria; or (2) Examine compliance with
antibiogram (e.g., percentage of prescribed antibiotics … Examples: Percentage of antibiotic prescriptions, number of
residents receiving antibiotics, number
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
August 01, 2014 - delay administration of antibiotics [p.
615]. … organisms should
be drawn before starting antimicrobial therapy,
as long as sampling does not delay antibiotic … Sampling before
antibiotic therapy is important, because
sterilization of blood cultures can occur … Identification of
causative organisms facilitates adjustment of
antibiotic therapy. … Administer
antibiotics and antivirals as indicated.
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www.ahrq.gov/nursing-home/resources/search.html?page=8
January 01, 2022 - Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course … This module discusses the importance of antibiotic stewardship and identifies strategies to implement … antibiotic stewardship activities in nursing homes. … Home Infection Preventionist Training Course This module discusses infection prevention and antibiotic … describes how hand hygiene prevents the spread of pathogens, including those that are resistant to antibiotics
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www.ahrq.gov/hai/tools.html
June 01, 2024 - Ambulatory surgery centers: Toolkit To Improve Safety in Ambulatory Surgery Centers Antibiotic use: … Toolkits To Improve Antibiotic Use Catheter-associated urinary tract infection (CAUTI): Toolkit for
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
June 02, 2021 - associated with COPD exacerbations and are usually limited to residents with COPD who
have had extensive antibiotic … to prescribing antibiotics to residents with mild COPD
exacerbations.2
• Empiric treatment1,2
− … Exacerbations
AHRQ Safety Program for Improving Antibiotic … Antibiotic
prescribing choices and their comparative C. difficile
infection risks: a longitudinal case-cohort … Prophylactic
antibiotic therapy for chronic obstructive pulmonary
disease (COPD).
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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 ______ … Onset date
Signs and symptoms
Site of infection
Culture site
Infection type
Treatment start date
Antibiotic
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www.ahrq.gov/news/newsletters/e-newsletter/967.html
July 01, 2025 - Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines
Issue Number
967 … July 22, 2025
Today’s Headlines: Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines … Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines In more than 40 percent of … The authors studied 772 patients aged 2 to 17 and compared antibiotic prescribing with standards set … antibiotics instead of broad-spectrum drugs when antibiotics are necessary, unless prior narrow-spectrum
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
May 01, 2024 - Enhancing Antibiotic Stewardship in Primary Care (R01) PI: Mark Herbert Ebell Organization: University … The goal is to help reduce inappropriate antibiotic prescriptions and the related costs and harms of … inappropriate antibiotic use. … about antibiotic prescribing and follow-up, and best practices for diagnosing and managing infectious … syndromes as well as allergies to antibiotics. 63 , 64 Patient Safety Network (PSNet) AHRQ’s PSNet is
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www.ahrq.gov/es/nursing-home/resources/search.html?page=8
January 01, 2022 - Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course … This module discusses the importance of antibiotic stewardship and identifies strategies to implement … antibiotic stewardship activities in nursing homes. … Home Infection Preventionist Training Course This module discusses infection prevention and antibiotic … describes how hand hygiene prevents the spread of pathogens, including those that are resistant to antibiotics
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clinical-topics.html
October 01, 2024 - Line-Associated Bloodstream Infections (CLABSI)
Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP
Antibiotic … Antibiotic Stewardship Antibiotic stewardship employs evidence-based decision-making to optimize appropriate … antibiotic use. … This section discusses the importance of antibiotic stewardship, best practices, and guidance for implementation … Stewardship Blood Culture Stewardship aims to optimize bacteremia detection and reduce inappropriate antibiotic