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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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psnet.ahrq.gov/node/45593/psn-pdf
January 23, 2017 - Receipt of antibiotics in hospitalized patients and risk for
Clostridium difficile infection in subsequent … Receipt of Antibiotics in Hospitalized Patients and Risk for
Clostridium difficile Infection in Subsequent … This study
demonstrated that when a hospitalized patient receives antibiotics, the next patient who … This finding highlights the importance of both antibiotic
stewardship programs and environmental approaches … https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
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effectivehealthcare.ahrq.gov/sites/default/files/diverticulitis-nomination-extra.pdf
May 29, 2025 - Key Questions and PICOTS
KQ1: Antibiotics KQ1: Antibiotics vs. … No Antibiotics
KQ2: Diagnostic
imaging
KQ3: Follow-up
colonoscopy
KQ4: Surgical and
interventional … KQ1: Antibiotics vs. … antibiotics by other
route of
administration, type
of antibiotic, duration
of course
Other … KQ1: Antibiotics vs.
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effectivehealthcare.ahrq.gov/products/procalcitonin/research
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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
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www.ahrq.gov/hai/index.html
April 01, 2025 - Toolkits To Improve Antibiotic Use Three toolkits that help hospitals, long-term care facilities, and … ambulatory practices apply the Four Moments of Antibiotic Decision Making to improve antibiotic use. … stewardship program, determine if it’s necessary to treat a resident with antibiotics, help clinicians … select the right antibiotic, and engage residents and families in infection prevention. … Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/practice/pledge.pdf
March 01, 2017 - Thousands
of people die each year as a direct result of these antibiotic-resistant
infections. … • Antibiotics are generally not needed when a person feels fine.
• Antibiotics can cause harm and … side effects, including nausea and
diarrhea, allergic reactions, yeast infections, and antibiotic-resistant … I understand that it is important to properly prescribe
and use antibiotics. … • It’s okay for residents to ask if an antibiotic is truly needed.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/practice/pledge.html
March 01, 2017 - Thousands of people die each year as a direct result of these antibiotic-resistant infections. … Antibiotics are generally not needed when a person feels fine. … infections, and antibiotic-resistant infections. … I understand that it is important to properly prescribe and use antibiotics. … It's okay for residents to ask if an antibiotic is truly needed.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - Antibiotic prophylaxis and cardiac surgery. … Antibiotic prophylaxis and cardiac surgery. … preventing postoperative infections in total knee arthroplasty, as compared with standard postoperative antibiotics … Antibiotic prophylaxis and cardiac surgery. … preventing postoperative infections in total knee arthroplasty, as compared with standard postoperative antibiotics
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www.ahrq.gov/patient-safety/resources/learning-lab/connected-emergency-care-long-desc.html
January 01, 2025 - Increase the specificity of antibiotic treatment for patients with respiratory infection. … Researchers developed an antibiotic-prescribing audit and patient feedback system. … along socioeconomic lines, with patients from wealthier areas more likely to receive inappropriate antibiotics … Racial and socioeconomic disparities evident in inappropriate antibiotic prescribing in the emergency … Racial and socioeconomic disparities evident in inappropriate antibiotic prescribing in the emergency
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0543_05-24-2013.pdf
January 01, 2013 - management, for
reducing inappropriate antibiotic use for acute cough illness (ACI). … Existing clinical guidelines
recommend against routine antibiotic use for ACI in otherwise healthy adults … The conclusions in the most recent clinical trials
note that a decrease in antibiotic use was associated … with delayed antibiotic strategies, patient
education, and physician education and are consistent with … While it is clear the antibiotics are not useful, a new systematic review on this topic can be used
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
October 01, 2016 - would like to talk to you today about when residents or family members request—or pressure you for—an antibiotic … Have you ever had an experience where someone requested an antibiotic for what they thought was a UTI … Potential harms of antibiotics. … Has anyone ever had a discussion about the harms of antibiotics as one of the reasons to avoid antibiotics … Do you think a family member would have continued to request antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - would like to talk to you today about when residents or family members
request—or pressure you for—an antibiotic … Have you ever had an experience where someone requested an
antibiotic for what they thought was a UTI … Potential harms of antibiotics. … Has anyone ever had a discussion about the harms of
antibiotics as one of the reasons to avoid antibiotics … Do you think a
family member would have continued to request antibiotics?