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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - from the pharmacy to the patient Invest in machines that can house certain antibiotics on the unit … requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy? … The patient had a favorable response to diuresis so it is reasonable to stop his antibiotics.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
November 01, 2019 - Moment 1 occurs at the time initiation of antibiotic … therapy is considered:
Ask, “Does my patient have an infection that requires antibiotics?” … cultures before starting antibiotics? … Moment 3 occurs every day of antibiotic therapy:
Ask 3 questions, “Can I stop antibiotics? … when the infectious process is clear and the patient
responds to therapy:
Ask, “What duration of antibiotic
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.ppt
May 01, 2014 - Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … *
Background: Antibiotic Prescribing
Antibiotics are frequently prescribed in nursing homes. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Moment 2: Have I ordered appropriate cultures
before starting antibiotics? … have an infection
that requires antibiotics? … two is: Have I ordered appropriate
cultures before starting antibiotics? … and Commentary Slide Number and Slide
Sepsis: Antibiotic Timing
SAY:
Antibiotics should be given … Patients in the
procalcitonin arm received 1.2 days fewer
antibiotics, although overall antibiotic
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - About Residents With Family Members and Caregivers
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … use to family members of residents
Address end-of-life care as it relates to antibiotic use
Recognize … “…in retrospect I just shouldn’t have done it [prescribed antibiotics]. … of life
15
Discussing Concerns With Family
15
End-of-Life Care4,5
Antibiotic therapy may cause … End-of-life treatment and bacterial antibiotic resistance: a potential association.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
November 01, 2019 - antibiotics
Optimizes empiric antibiotic choices
Gives opportunity to advise about sending appropriate … antibiotics
Optimizes empiric antibiotic choices
Gives opportunity to advise about sending appropriate … antibiotics
Optimizes empiric antibiotic choices
Gives opportunity to advise about sending appropriate … Con
Providers or clinical teams review their patients who are receiving antibiotics to determine if … the antibiotics are truly needed or if they could be modified Engages frontline clinicians/teams to
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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/index.html
October 01, 2016 - Toolkits
Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics … Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents and … Members
Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics … Minimum Criteria for Antibiotics Tool
Toolkit 1. … Internet Citation: Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - Why are antibiotics a problem?
• Many residents receive antibiotics. … —page 2 of 2
• Many antibiotics are unnecessary. … Examples of such practices include prescribing prophylactic
antibiotics, prescribing antibiotics without … • Antibiotics for asymptomatic bacteriuria do not help and can be harmful. … • The UTI SBAR form helps to reduce the unnecessary use of antibiotics.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - therapy based
on clinical data or culture data
Forgetting to discontinue antibiotics when they … Another example of a technical problem would be
failure to administer needed antibiotics to septic … This allows for a feeling of
ownership of antibiotic decision making and ensures
that antibiotics are … patients or for patients already receiving
antibiotics. … than the initial
antibiotic regimen or stopping antibiotics altogether, in
the event that a patient
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ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/shared-decision/success/story-2.html
September 01, 2020 - Many respiratory infections are caused by viruses, not bacteria, making antibiotics an ineffective treatment … . 2
Widespread use of antibiotics for viral illnesses can promote spread of antibiotic resistant bacteria … the patient's expectations and preference for antibiotics
Uses the provider's knowledge about the … "Get Smart About Antibiotics Week: Preserve the Power of Antibiotics." … "Antibiotic Resistance Questions and Answers."
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - The use of antibiotics is not without consequences. … This is one of the most distressing features of antibiotics. … You meet with your antibiotic stewardship team to brainstorm problems related to antibiotics in your … At this point, she has been on antibiotics for 8 days. … · Length of therapy
· Cost of antibiotics
· Use of guideline-concordant antibiotics
· Clostridioides
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
November 01, 2019 - Does my patient have an infection that requires antibiotics?
2. … Have I ordered appropriate cultures before starting antibiotics? … Does my patient have an infection that requires antibiotics? … Does my patient have an infection that requires antibiotics?
2. … Have I ordered appropriate cultures before starting antibiotics?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
September 01, 2022 - However, misuse of antibiotics has led to avoidable harm such as emergence of antibiotic
resistance … /index.html
2
who receive antibiotics in the hospital will develop an antibiotic-associated adverse … Antibiotic use was stratified by individual antibiotics. … Antibiotic use was
stratified by individual antibiotics. … Rethinking how antibiotics are prescribed: incorporating the 4
Moments of Antibiotic Decision Making
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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
December 01, 2017 - We're fast running out of antibiotics and we're not getting new antibiotics very soon, and we know that … We also know that antibiotics have side effects and if you give people antibiotics unnecessarily, you're … We also know that improving the use of antibiotics can actually reduce antibiotic resistance. … Well, very simply, antibiotics stewardship is simply ensuring that every patient gets an antibiotic only … some of the risks of antibiotics.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - were on antibiotics. … Participating facilities also significantly reduced use of fluoroquinolones , a class of antibiotics … can enable organisms to develop a resistance to antibiotics, rendering them ineffective. … Significantly reduce oral antibiotic use compared with intravenous antibiotics, which is important because … oral antibiotics are used more frequently.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotics-brochure-spanish.docx
September 01, 2022 - Antibiotics: When Do You Need Them?
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ce.effectivehealthcare.ahrq.gov/news/newsroom/press-releases/antibiotic-prescribing.html
July 01, 2022 - stewardship programs—coordinated internal programs that promote the appropriate use of antibiotics. … "Antibiotics save lives—but we must use them judiciously to reduce the chance of resistance and ensure … resistance developing in microbes, rendering antibiotics useless against them. … The Four Moments of Antibiotic Decision Making are the critical time periods to assess the need for antibiotics … ; clinicians can use the framework whenever antibiotics are being considered for treatment.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - number of points determines the management approach:
0 or 1 points: GAS unlikely; no testing or antibiotics … 4 points: GAS likely; treat with antibiotics ± obtain a rapid strep test
‒ Reflex bacterial cultures … Antibiotic Therapy (adults and children)1
• First-line therapy for GAS pharyngitis: penicillin or … A 5-day course of the antibiotics listed above is sufficient. … Pharyngitis
AHRQ Safety Program for Improving Antibiotic