-
www.ahrq.gov/topics/antibiotics.html
Antibiotics
Antibiotics are powerful medicines that fight bacterial infections. … Antibiotic resistance is becoming a national threat. … AHRQ's efforts for combating antibiotic-resistanct bacteria focus on promoting appropriate antibiotic … Antibiotic Stewardship Toolkits MRSA Prevention Toolkits
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Slides
AHRQ Safety Program for Improving Antibiotic … that requires antibiotics? … Four Moments of Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics … that requires antibiotics? … that requires antibiotics?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Sinusitis – Slides
AHRQ Safety Program for Improving Antibiotic … Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … that requires antibiotics? … that requires antibiotics?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
June 01, 2021 - Antibiotic Side Effects
Risk of antibiotic side effects and adverse reactions
• Antibiotic use is … (5–25%)
• Antibiotics can lead to nephrotoxicity (damage to kidneys), neurotoxicity (damage to central … and/or
peripheral nervous system), skin reactions such as rashes, or yeast infections
• Antibiotics … Meta-
analysis of antibiotics and the risk of community-
associated Clostridium difficile infection. … Community-associated Clostridium difficile
infection and antibiotics: a meta-analysis.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Sometimes Antibiotics” Diagnoses: Pharyngitis
Ambulatory Care
Slide Title … Does my patient have an infection that requires antibiotics?
2. … an infection that requires antibiotics? … Does this patient require antibiotics? … Slide 12
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Sometimes Antibiotics” Diagnoses:
Sinusitis
Ambulatory Care
Slide Title and … and
· Describe the non-antibiotic management of sinusitis
Slide 2
The Four Moments of Antibiotic … Does my patient have an infection that requires antibiotics?
2. … infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision-Making
SAY:
Moment Three is: If antibiotics are
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - This tool will help your safety program team understand how appropriately you are using prophylactic antibiotics … Antibiotic infusion stop time
Antibiotic 1
Name:
Dose:
Time (1):
Time (2):
Time (3):
Antibiotic … Question 15: Assess if the antibiotics clindamycin or cefotetan were redosed during the case. … If the antibiotics were redosed, determine and document if the difference in time between the first antibiotic … Antibiotic infusion stop time
Antibiotic 1
Name:
Dose:
Time (1):
Time (2):
Time (3):
Antibiotic
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
November 01, 2019 - of antibiotics is not entirely benign! … one antibiotic during their hospital stay.1
Approximately 30-50% of antibiotics hospitalized patients … Use – Patient Safety Issue
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
6
Antibiotics … Care
7
Antibiotics & Clostridiodes difficile
Antibiotics can increase the risk of Clostridiodes difficile … The Infectious Diseases Society of America’s 10 x ’20 Initiative (Ten new systemic antibacterial agents
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
September 01, 2022 - The Never Antibiotics Diagnoses: Influenza and RSV – Slides
AHRQ Safety Program for Improving Antibiotic … that requires antibiotics? … of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … that requires antibiotics? … that requires antibiotics?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Five potential health problems can occur as a result of taking an antibiotic.
1. … But side effects vary a lot from
person to person, and from antibiotic to antibiotic.
3. … Antibiotic resistance
Antibiotics kill bacteria. Sometimes not all of the bacteria are killed. … In other words, the more often you use an antibiotic, the
greater the chance that the antibiotic won … As bacteria become more resistant to antibiotics, it becomes harder to find effective antibiotics.
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
October 01, 2023 - Grantee Profile
Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic … Unsafe antibiotic use includes obtaining and using prescription antibiotics without a prescription, using … another person's antibiotics, or using one's own stored antibiotics for a reason other than originally … Taking prescription antibiotics without a prescription increases the risk of antibiotic resistance, adverse … and penicillin, at home, with younger caregivers more likely to store and use these antibiotics.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - Antibiotic stewardship aims to optimize the use of antibiotics by ensuring antibiotics are prescribed … Slide 4
Some Facts About Antibiotic Use
SAY:
Antibiotics have revolutionized modern medicine and saved … antibiotic regimens, use of antibiotics in patients who do not have signs or symptoms of infection, … antibiotic use is to decide what antibiotics or syndromes you want to target on the unit. … On the front, the prescriber is asked to provide an indication for antibiotics, assess whether antibiotic
-
www.ahrq.gov/topics/antimicrobial-stewardship.html
use by getting residents the right antibiotics when they need them. … Toolkit To Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics : This toolkit … toolkit helps residents and their family members understand what the nursing home is doing to make sure antibiotics … are used properly, what the risks of taking antibiotics are, and what they can do to be engaged in decisions … Telemedicine-Based Antimicrobial Stewardship Program Improves Prescribing, Reduces Bacterial Resistance to Antibiotics
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-brochure.html
March 01, 2017 - When Do You Need An Antibiotic? … What is "antibiotic resistance"? … the antibiotic. … That's why it's best to use an antibiotic only when it's absolutely necessary. … Don't take an antibiotic for a virus (cold or flu).
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-slides.pptx
September 01, 2022 - The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Slides
The “Usually Antibiotics … that requires antibiotics? … that requires antibiotics? … Use – Ambulatory Care
13
Moment 3: Antibiotic Choice in Adults7,13
Antibiotics in prior 3 months or … 18
Gradual improvement by third day of antibiotics
If not improving, consider changing antibiotics,
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Team Antibiotic Review Form
*Questions 1–6 should … Question 2: Record antibiotic regimen and indication below:
Antibiotic:
Indication:
Antibiotic … :
Indication:
Antibiotic:
Indication:
Antibiotic:
Indication:
Moment ONE
Question … ☐ Yes
☐ No
2
Team Antibiotic Review Form
AHRQ Safety Program for Improving Antibiotic Use – … Moment THREE
Question 7: Are antibiotics still needed?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Identifying Targets To Improve Antibiotic Use
Long-Term … · Prescribing antibiotics for too long
· Forgetting to stop antibiotics when they are not needed
· Accidentally … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we narrow therapy? … She met criteria for empiric antibiotics.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Learning From Antibiotic-Associated Adverse Events
An … Negative Factor
Positive Factor
Patient
Factors
Example: Family preferred antibiotics. … X
Team
Factors
Example: Team discussion about need to start antibiotics occurred … Have we collected appropriate cultures and diagnostic tests before starting antibiotics? … Can we stop antibiotics? Can we narrow therapy?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form-completion-guide.pdf
November 01, 2019 - Completion Guide_Team Antibiotic Review Form
AHRQ Safety Program for Improving Antibiotic Use … Day of antibiotic therapy:
For the antibiotic or antibiotic regimen you are evaluating, day 1 is the … Antibiotic regimen and indication:
Include all antibiotics that the patient is receiving. … • If the patient has a reported antibiotic allergy but the specific antibiotic was not recorded or … Day of antibiotic therapy:
Question 2. Antibiotic regimen and indication:
Question 3.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?