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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
November 01, 2019 - As a reminder, Moment 1 asks: Does my patient have
an infection that requires antibiotics? … antibiotics?” … It is important to remember that even
if antibiotics for suspected VAP are initiated, antibiotic
decisions … appropriate
cultures before starting antibiotics? … Ask: Can I stop antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - as patients who did receive antibiotics (in blue). … have an infection that
requires antibiotics? … appropriate cultures
before starting antibiotics? … Ask
yourself: Can I stop antibiotics? … or no
antibiotics.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - have an infection that requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Decision Making
Does my patient have an infection that requires antibiotics? … requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
November 01, 2019 - Ask, “Does my patient have an
infection that requires antibiotics?” … Ask, “Have I ordered appropriate
cultures before starting antibiotics? … Moment 3 occurs on every subsequent day of antibiotic
therapy. … Ask three questions, “Can I stop antibiotics? Can I
narrow therapy? … The
prescriber should ask, “Can I stop antibiotics?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - an infection that requires antibiotics? … flora may become resistant to commonly used antibiotics over time. … Differences exist, however, in the dosing of antibiotics. … to guide the selection of effective antibiotics. … Most cases of uncomplicated cystitis can be treated with 3 to 5 days of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - As I have
more clinical and microbiologic data available can I stop
antibiotics, can I narrow antibiotics … , or can I change
from intravenous to oral antibiotics? … Moments of Antibiotic
Decision Making asks, “Does my patient have an
infection that requires antibiotics … ordered appropriate
cultures before starting antibiotics? … Slide 15
A Week of Antibiotic Therapy Is Sufficient
SAY:
Seven days of antibiotics is generally
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
October 01, 2016 - • Before taking an antibiotic, it is important to understand how antibiotics could harm or
hurt you … But, side effects vary a lot from person to person, and
from antibiotic to antibiotic.
3. … This is called antibiotic resistance. … In other words, the more often
you use an antibiotic, the greater the chance that the antibiotic won … When Taking an Antibiotic
• When you take an antibiotic, you may experience several side effects such
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
October 01, 2016 - is effectively treated.
· Unneeded antibiotics can do more harm than good.
· Before taking an antibiotic … But, side effects vary a lot from person to person, and from antibiotic to antibiotic.
1. … In other words, the more often you use an antibiotic, the greater the chance that the antibiotic won’ … Second, we have an antibiotic stewardship program to—
Make sure that antibiotics are used only when absolutely … When Taking an Antibiotic
· When taking an antibiotic, your family member may experience several side
-
meps.ahrq.gov/data_files/publications/rf23/rf23.shtml
March 01, 2005 - In contrast to the results for overall antibiotic use, however, reductions in
the use of antibiotics … Get smart: know when antibiotics work. … Definitions
Antibiotics . … The definition of antibiotics includes
all major classes of oral antibiotics but excludes … topical
antibiotics.
-
www.ahrq.gov/nursing-home/resources/module-14-antibiotic-stewardship.html
April 01, 2022 - Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course … Resource: 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. … At the conclusion of this module, participants will be able to: 1. define antibiotic stewardship and
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.pdf
October 01, 2016 - But, side effects vary a lot from person
to person, and from antibiotic to antibiotic.
3. … This is called antibiotic resistance. … In other words, the
more often you use an antibiotic, the greater the chance that the antibiotic won’ … – Second, we have an antibiotic stewardship program to—
Make sure that antibiotics are used only … When Taking an Antibiotic
• When taking an antibiotic, your family member may experience several side
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.pdf
October 01, 2016 - Summary Report of Infections and Antibiotic Use
(This example focuses on data for evaluating antibiotic … of
Antibiotic
Rx Divided
by Number
of Resident
Days
Number of
Residents
Receiving
Antibiotics … Agents in Use
(This example focuses on tracking use of specific antibiotics of concern in the nursing … home)
Month
[Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
[ … Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
Jan In each cell,
enter the
number of
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - As I have
more clinical and microbiologic data available can I stop
antibiotics, can I narrow antibiotics … , or can I change
from intravenous to oral antibiotics? … have an infection that
requires antibiotics? … Clinicians
should weigh the higher proportion of cure with
antibiotics with the potential for antibiotic … with antibiotic failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - for Improving Antibiotic Use
1
The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia
Ambulatory … infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … was noninferior to 8 days of antibiotics. … He hasn’t taken any antibiotics recently.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.docx
October 01, 2016 - · Antibiograms are important tools for health care professionals involved in prescribing empiric antibiotics … · Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to multiple antibiotics.
· Antibiograms provide guidance … It may be helpful to examine the antibiogram and identify the one two antibiotics that are not working … Please avoid that antibiotic.
AHRQ Pub.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - affects around 50% of residents
It is not associated with increased morbidity or mortality
Unnecessary antibiotics … choices, review the resident’s chart to determine if there are any contraindications to specific antibiotics … dependent on the local epidemiology (review the local antibiogram).
10
UTI Management
10
Common Antibiotics … No known allergies to antibiotics
>100,000 µg/mL E. coli
MIC INT
Ampicillin >16 R
Ampicillin-sulbactum … treat UTIs
Fluoroquinolones should be avoided as an empiric choice due to resistance and side effects
Antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.pdf
October 01, 2016 - • Antibiograms are important tools for health care professionals involved in prescribing empiric
antibiotics … • Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to
multiple antibiotics. … It may be helpful to
examine the antibiogram and identify the one two antibiotics that are not working … Please avoid that antibiotic.
Tool 1.
-
psnet.ahrq.gov/issue/effect-behavioral-interventions-inappropriate-antibiotic-prescribing-among-primary-care
August 02, 2015 - Study
Effect of behavioral interventions on inappropriate antibiotic prescribing … trial among 47 primary care practices, prompting clinicians to enter justifications for prescribing antibiotics … mean antibiotic prescribing rates compared to controls. … Antibiotics are a significant source of medical care overuse and inappropriate prescriptions can lead … Related Resources From the Same Author(s)
Time of day and the decision to prescribe antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.docx
October 01, 2016 - Summary Report of Infections and Antibiotic Use
(This example focuses on data for evaluating antibiotic … use for suspected UTIs)
Month
Number of Resident Days
Number of Antibiotic Rx
Number of Antibiotic … Rx Divided by Number of Resident Days
Number of Residents Receiving Antibiotics for UTI (incl. … tracking use of specific antibiotics of concern in the nursing home)
Month
[Antibiotic Name]
[Antibiotic … Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - __ Yes
__ No
Slide 5
Why We Have to Improve Antibiotic Use
Antibiotics are unlike any other … We are running out of antibiotics.
We won’t get new ones soon. … visits to emergency departments for adverse events attributed to antibiotics. … restrictions for 5 antibiotics: Ticar/clav, Imipenem, Aztreonam, Cefta and Cipro. … It’s to ensure that there are systems and support to help every provider use antibiotics optimally.