-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - Antibiotics are among
the most commonly prescribed pharmaceuticals in long-term-care settings, yet … reports indicate that a high
proportion of antibiotic prescriptions are inappropriate. … of antibiograms can help reduce inappropriate
prescribing and lead to fewer clinical failures of antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.pdf
May 01, 2014 - The laboratory that processes your cultures will have a record of the
antibiotic susceptibility tests … The remaining columns of the antibiogram are the antibiotics that were tested and
the organisms’ susceptibilities … The remaining columns of the antibiogram are the antibiotics that were tested and the
organisms’ susceptibilities … Of the E coli cultures tested against ciprofloxacin, 75 percent were susceptible to
the antibiotic. … encourage prescribing clinicians to order
more cultures for suspected infections when prescribing empiric antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Appropriate Collection of Microbiologic Specimens … a good microbiologic specimen is important to determine whether a resident needs to be treated with antibiotics … Biofilm formation
· A biofilm is a layer of slime secreted by bacteria that protects them from antibiotics … Next, she is started on broad-spectrum antibiotics. … She continues on broad-spectrum antibiotics because culture results are not available to tailor the therapy
-
www.ahrq.gov/funding/grantee-profiles/index.html
June 01, 2025 - More >> Investigating Interventions to Reduce Unsafe Use of Antibiotics Larissa Grigoryan, M.D., Ph.D … With AHRQ’s help, my goal is to improve antibiotic use and minimize antimicrobial resistance.” … More >> Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance … Medicine “Without funding from agencies such as AHRQ, I could not conduct this kind of research on antibiotic
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.docx
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
Toolkit 1. … Working With a Lab To Improve Antibiotic Prescribing
3. … and are clinically useful
· Presents data as the percentage of isolates that are susceptible to each antibiotic … Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic Toolkit 1/Tool … 0006-6-EF
October 2016
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
June 02, 2025 - – Stomal infection requiring antibiotics (45%). … ■ Send swab for culture and treat with
appropriate topical or systemic antibiotics. … Diarrhea ■ Antibiotic therapy
■ Infusion rate/
volume too high
■ Gastroenteritis
■ Low serum
albumin … ■ Review antibiotic therapy.
■ Obtain stool sample for culture.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - They can contribute to misdiagnosis, overtreatment with antibiotics, multidrug-resistant infections, … Perhaps the most obvious harms are allergies and adverse effects (like renal failure) from antibiotics … Also, there is Clostridioides difficile diarrhea, the harm and discomfort of central access for antibiotics … In this picture, the patient’s arm shows an antibiotic rash. … several harms occurred due to inappropriate culturing of her urine: she was started on unnecessary antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
Toolkit … Working With a Lab To Improve Antibiotic Prescribing
Tool 2. … Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic Toolkit 1/Tool … are
clinically useful
• Presents data as the percentage of isolates that are susceptible to each antibiotic … 6-EF
October 2016
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
June 02, 2025 - Does the hospital have an antibiotic stewardship program or processes to reduce use of
unnecessary antibiotics … Pre-prescription approval
Daily time-out by team to assess antibiotic use
Post-prescription … review and feedback by the antibiotic stewardship program
Rounds with the antibiotic stewardship … Weekly_7: Off
Monthly_7: Off
Quarterly_8: Off
Other_14: Off
Yes_29: Off
No_36: Off
Rounds with the antibiotic … use: Off
Post-prescription review and feedback by the antibiotic stewardship program: Off
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
January 17, 2025 - Elements for Hospital
Diagnostic Excellence
o Based on the successful models of Core Elements of Antibiotic … /hcp/core-elements/index.html
https://www.cdc.gov/antibiotic-use/hcp/core-elements/index.html
https:/ … There are concerns that this testing may lead to inappropriate
antibiotic use. … decision support into routine EHR (Epic) to
support diagnosis, in this case, specific to infections/antibiotics … pneumonia and urinary tract infection diagnoses to
predict risk of resistant bacteria and optimize antibiotic
-
www.ahrq.gov/news/blog/ahrqviews/2021-ahrq-year-in-review.html
January 01, 2022 - Our AHRQ Safety Program for Improving Antibiotic Use was evaluated in more than 400 acute care hospitals … long-term care facilities, and nearly 400 ambulatory care practices and found to significantly reduce antibiotic … Participating hospitals, for example, reduced total antibiotic use by an average of 30.3 days of antibiotic
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-one-pager.pdf
September 01, 2022 - Treatment
• Antibiotic treatment of acute bronchitis is not recommended because it does not impact … either
the severity or duration of cough.1
• Antibiotic treatment of acute bronchitis does not prevent … 2 AHRQ Safety Program for Improving Antibiotic
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - for the antibiotic. … Why aren’t patients receiving appropriate redosing of antibiotics? … No care provider is intentionally ignoring evidence about antibiotics and surgical site infections. … Ask:
Do providers understand that antibiotic A needs to be redosed every 4 hours or that antibiotic … If antibiotics redosing is required, is the medication readily available?
-
www.ahrq.gov/news/newsletters/e-newsletter/913.html
May 01, 2024 - Registration Open for Free Safety Program To Improve Antibiotic Use in Telemedicine . … Registration Open for Free Safety Program To Improve Antibiotic Use in Telemedicine The AHRQ Safety Program … for Telemedicine: Improving Antibiotic Use is recruiting primary and urgent care practices and retail … The program will begin in June and provide evidence-based guidance to improve antibiotic prescribing … Antibiotic stewardship interventions for urinary tract infections in outpatient settings: a narrative
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - technical reviews about long-term care
Resources
Long-term care resources
Toolkit To Improve Antibiotic … Nursing Home Antimicrobial Stewardship Guide
Related Content
Toolkit To Improve Antibiotic
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Examples of overuse of services include:
Antibiotics . … In that year, 12 million antibiotic prescriptions were written during office visits for colds, upper … These prescriptions accounted for one out of every five antibiotic prescriptions to adults in that year … reactions, and contributes to the emergence of antibiotic-resistant pathogens. … the need for a second antibiotic course within 24 days of the initial therapy, was associated with a
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/UTI-one-page.docx
November 01, 2019 - indwelling catheter is in place, remove and replace it before sending UA and culture
· Do not start antibiotics … symptoms
Treatment
Assess prior urine culture data, as previous susceptibility patterns can help guide antibiotic … Asymptomatic bacteriuria treatment is associated with a higher prevalence of antibiotic resistant strains
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Assessment of the Resident With a
Suspected Urinary … She is happy that she was not exposed to any unnecessary antibiotics, and that she had a delicious piece … have a UTI, it is uncommon for a urine culture to not grow bacteria if they were not already receiving antibiotics … The nitrofurantoin is stopped and continuing antibiotics is unnecessary and can worsen her yeast infection … repeating the workup or prescribing different antibiotics, consider other reasons for the resident’s
-
www.ahrq.gov/sites/default/files/2024-07/alpern-report.pdf
January 01, 2024 - We investigated whether patient race/ethnicity was associated with differences in
antibiotic prescribing … Of 39,445 pediatric ED encounters that met
inclusion criteria, 2.6% (95% CI 2.4%, 2.8%) received antibiotics … and other non-Hispanic (aOR 0.68; 0.52, 0.87) children
remained less likely to receive unnecessary antibiotics … Racial and Ethnic Differences in Antibiotic Use for
Viral Illness in Emergency Departments. … Racial and Ethnic
Disparities in Antibiotic Prescribing for Emergency Department Visits With Viral
Diagnoses
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-6-tables-5-7.pdf
June 02, 2025 - 2 100% 1.00
Antibiotics administered
at referring hospital
3
67%
0.00
Severe sepsis 7 … 86% 0.72
Septic shock 7 86% 0.70
Hospital #2
Timely antibiotics 3 67% 0.00
Antibiotics administered … 4 100% 1.00
Antibiotics administered
at referring hospital
4
100%
1.00
Severe sepsis … 4 100% 1.00
Septic shock 4 100% 1.00
All Sites
Timely antibiotics 9 89% 0.00
Antibiotics … (within 60 minutes of
diagnosis)
2
100%
1.00
Hospital #2
Time of Antibiotics
(