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www.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
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - • Especially consider in residents who received antibiotics
in previous 60 days and have one or more … • Use anti-MRSA antibiotic empirically for abscess or
chronic ulcer meeting criteria for deep infection … www.ahrq.gov
Agency for Healthcare Research and Quality
12 Common Nursing Home Situations
in Which Systemic Antibiotics
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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/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Moment 1: Does my patient have an infection that requires antibiotics? … While the decision to prescribe antibiotics occurred in the hospital, whether to continue antibiotics … The resident likely did not need any antibiotics. … Can we stop antibiotics? Can we narrow therapy? … Antibiotics should have been re-evaluated and stopped early on in his course.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - Slide 5
The Four Moments of Antibiotic Decision Making
SAY:
Let’s review our Four Moments of antibiotic … likely has an infection that requires antibiotics, let’s consider our second moment of antibiotic decision … stable within a few days after starting antibiotics. … Stopping antibiotics is not correct. … Prophylactic antibiotics can contribute to the development of antibiotic resistance and C. difficile
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www.ahrq.gov/antibiotic-use/index.html
April 01, 2025 - Antibiotic Stewardship Toolkits
AHRQ’s antibiotic stewardship toolkits were developed based on … Decision Making rubric to improve antibiotic use. … the Toolkit To Improve Antibiotic Use in Acute Care Hospitals . … About This Project Antibiotics are life-saving drugs when used appropriately. … Using antibiotics inappropriately can lead to antibiotic-resistant bacteria and increase the risk of
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/index.html
October 01, 2016 - Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics
Minimum Criteria … for Antibiotics Tool
Toolkit 1.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-2-tech-specs.pdf
June 02, 2025 - emergency
department with fever during the measurement year who received parenteral broad-spectrum antibiotic … calculated as follows:
The percentage of eligible children who received parenteral broad-spectrum antibiotic … Parenteral See Table 15-A for a list of acceptable antibiotics. … broad-spectrum antibiotic treatment
Fever Body temperature ≥ 38 degrees C (100.4 degrees F). … Administration of oral
antibiotics does not qualify as a numerator event.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Decision Making
Does my patient have an infection that 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? … Decision Making
Defect Issue Moment
Patient remained on IV antibiotics for duration of hospitalization … Antibiotics could have been changed from IV to PO once clinical improvement and ability to tolerate
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - of antibiotics. … encouraged to
meet with frontline teams and providers to review some portion of patients receiving
antibiotics … use and why all individuals should work together to use
antibiotics in the best possible way … • The Talking With Family Members About Antibiotics poster provides mock dialogues for the
discussion … use and enhance the safety of residents receiving
antibiotics.
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
September 01, 2017 - SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use in unnecessary antibiotics … Unnecessary antibiotics can result in side effects and drug-resistant bacteria. … (“Minimum Criteria toolkit”) aims to reduce unnecessary prescribing for the three infections where antibiotics … help prescribing clinicians (physicians, nurse practitioners, and physician assistants) determine when antibiotics … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.ahrq.gov/news/newsletters/e-newsletter/946.html
February 01, 2025 - New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment
Issue Number
946 … Today's Headlines: New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment . … New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment More careful use of antibiotics … to measure how often and for how long hospitals prescribe antibiotics at discharge. … This shift could improve care and reduce reliance on other antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Effective communication helps bring about proper use of antibiotics. … The provider may feel pressured to prescribe antibiotics. … , so antibiotics will not be helpful, and antibiotics can cause unpleasant side effects.” … I think we need to stop the antibiotic now.” Dr. … He should not be on this antibiotic.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … Clinicians should weigh the higher cure rate with antibiotics with the potential for antibiotic side … antibiotics. … All patients received antibiotics for 5 days.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … Antimicrobial stewardship is the act of using antibiotics appropriately—that is, using them only when … truly needed and using the right antibiotic for each infection. … Antibiotics are among the most commonly prescribed drugs in long-term care settings, yet reports indicate … laboratory tests and antibiotics.
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - Working With Your Lab To Improve Antibiotic Prescribing
Overview of the Toolkit
How can a lab … help improve antibiotic prescribing at your nursing home? … suspected of having an infection along with the percent susceptibility of each organism to various antibiotics … antibiogram report helps prescribing clinicians make better, empirically-based decisions by avoiding antibiotics … What Is the Working with Your Lab to Improve Antibiotic Prescribing Toolkit?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - Antibiotic Use in Nursing Homes
• Antibiotics are one of the most commonly prescribed medications … • Concerns about antibiotic use in nursing homes:
— Evidence has shown that antibiotics given to people … Antibiotic Stewardship
• Antibiotic stewardship is an approach or program that focuses on improving … antibiotic use by
avoiding unnecessary or inappropriate antibiotics … Antibiotic Use in Nursing Homes
Consequences of Overuse of Antibiotics in Nursing Homes
What Can
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue
Sustaining Stewardship Activities
Acute Care
AHRQ … Safety Program for Improving Antibiotic Use
AHRQ Pub. … Stewardship
1
Objectives
Review the goals of an antibiotic stewardship program in the first 1–2 years … antibiotic stewardship committee meeting at least quarterly
4
AHRQ Safety Program for Improving Antibiotic … Clinicians understand the importance of and continue to perform a daily “time out” for patients receiving antibiotics
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Indicate if mechanical bowel preparation or oral antibiotics (Check all that apply)
Slide 9: Normothermia … Slide 12: Prophylactic Antibiotics
Image: Sample form covering prophylactic antibiotics:
Did the … Indicate name of antibiotic 1
Indicate administration time for antibiotic 1
Indicate name of antibiotic … 2
Indicate administration time for antibiotic 2
Slide 13: Prophylactic Antibiotics
Did the … Image: Sample form covering prophylactic antibiotics:
Case duration.