-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.docx
October 01, 2016 - Address
City, State Zip]
Re: Change in protocol regarding urinalyses to improve quality of care and antibiotic … routinely collected culture without corresponding urinary symptoms, such as one obtained after a course of antibiotics … more likely to develop Clostridium difficile infection within the 3 months following their course of antibiotics … Embedded in the Suspected UTI SBAR form is our new protocol for initiating antibiotics for UTIs. … Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/four-moments-poster-1.pdf
September 01, 2022 - Poster_Four Moments of Antibiotic Decision Making
AHRQ Pub. No. 17(22)-0030
September 2022
-
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?
-
www.ahrq.gov/antibiotic-use/long-term-care/improve/discuss-concerns.html
June 01, 2021 - About Residents
Effective communication may help residents and family members requesting antibiotics … understand that there are potential risks associated with antibiotic use. … Poster – Talking With Residents and Family Members About Antibiotics (PDF, 216.3 KB)
Poster – Talking
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
June 02, 2021 - associated with COPD exacerbations and are usually limited to residents with COPD who
have had extensive antibiotic … to prescribing antibiotics to residents with mild COPD
exacerbations.2
• Empiric treatment1,2
− … Exacerbations
AHRQ Safety Program for Improving Antibiotic … Antibiotic
prescribing choices and their comparative C. difficile
infection risks: a longitudinal case-cohort … Prophylactic
antibiotic therapy for chronic obstructive pulmonary
disease (COPD).
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - and drainage of abscess is essential
· For an uncomplicated skin abscess with minimal cellulitis, antibiotics … are of modest benefit once the abscess is drained
· Antibiotics are recommended for residents with— … fasciitis should receive care in an acute care setting where they can receive empiric broad-spectrum antibiotics … Duration
· 5–7 days if clincial response by day 31-3,8,9
References
AHRQ Safety Program for Improving Antibiotic … Choosing Wisely: Don’t routinely use antibiotics to treat bilateral swelling and redness of the lower
-
www.ahrq.gov/nhguide/index.html
Home Antimicrobial Stewardship Guide provides toolkits to help nursing homes optimize their use of antibiotics … Choose the Right Antibiotic
Three toolkits describe how to work with a lab and use an antibiogram. … Toolkits
The toolkits cover a variety of interventions that nursing homes can use to improve antibiotic … Antimicrobial Stewardship Program
Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics … Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents and
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - prostheses (constrained and hinged)
Comorbidities (increased Charlson index)
Lack of use of antibiotic … Intraoperative
Surgical factors
Prophylactic antibiotics
Skin preparation
Draping … Charging scalpel blades
Antibiotic irrigation solution
Bleeding control
… Antibiotic cement
Skin closure
Dressing
Surgical team
Gloves
Personalized … Dealing with persistent draining wounds
Late
Antibiotics before dental, genitourinary
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - 3
The Four Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics … Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics? … infection that requires antibiotics? … infection that requires antibiotics? … infection that requires antibiotics?
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-6a.pdf
December 01, 2013 -
Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic … Scientific Soundness
VI.A Reliability
Figure 1: Provision of Antibiotic Prescriptions, 300‐Day Rate … CAROLINA
TEXAS
Note: The first rate for Measure 3, the percentage of eligible children who received antibiotics …
Figure 2: Provision of Antibiotic … Cell Disease Measure 3 Reliability in Six States (Percentage of Children in State with SCD Receiving Antibiotics
-
www.ahrq.gov/antibiotic-use/long-term-care/best-practices/posters.html
June 01, 2021 - Minimum Criteria for Initiation of Antibiotics for Suspected UTI, and When To Send a Urinalysis and Urine … Culture (8 x 11, one-sided) (PDF, 202.3 KB)
Minimum Criteria for Initiation of Antibiotics for Suspected
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh7.html
April 01, 2018 - Surgery
Description
CABG
Presence of both postoperative culture and postoperative antibiotics … 67.3
Absence of a postoperative culture and one of the following criteria:
Postoperative antibiotics … given and any postoperative leukocyte count test drawn
Postoperative antibiotics not given, but the … count is not less than 9.45
THA
Presence of a postoperative culture and postoperative antibiotics
-
www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
December 01, 2017 - This tool will help your safety program team understand how appropriately you are using prophylactic antibiotics … (Leave the Antibiotic 2 subsection blank if only one antibiotic was used throughout the case.) … (Leave the Antibiotic 2 subsection blank if only one antibiotic was used throughout the case.) … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T4-Concise_Antibiogram_Toolkit_How_to_Enter_Data_Manually_into_an_Antibiogram_Template.doc
May 01, 2014 - (%) susceptibilities based on 20 isolates should still give a general idea of how effective various antibiotics … Only include percent (%) susceptibilities for antibiotics where at least 70 percent of the isolates were … Different isolates of an organism are not always tested for susceptibilities to the exact same antibiotics … Because of this uncertainty, we recommend you only include percent (%) susceptibilities for antibiotics … So, in the example, percent (%) susceptibilities for antibiotics which about 20 or more E. coli isolates
-
www.ahrq.gov/antibiotic-use/long-term-care/four-moments/posters.html
June 01, 2021 - The Four Moments of Antibiotic Decision Making Posters
Posters can be reproduced for posting … The Four Moments of Antibiotic Decision Making Explained (PDF, 170.3 KB)
The Four Moments of Antibiotic … Making Poster for workstations (small) (PDF, 122.2 KB)
The Four Moments of Antibiotic Decision Making … Poster as a pocket card (PDF, 137.5 KB)
Four Moments of Antibiotic Decision Making With Associated … Four Questions To Ask Your Doctor or Nurse About Antibiotics (PDF, 194 KB)
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Emerging evidence:
Antibiotics redosing and weight-based dosing. … The first column titled Antibiotics Practices includes rows that describe different antibiotic practices … Antibiotics were weight-adjusted in 552 or 56.8% of cases (n=972). … Utilization of mechanical bowel preparation with oral antibiotics. … Standardize antibiotics redosing:
Maintain therapeutic antibiotic serum levels throughout procedure
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-sepsis-antibiotics-technical-specs.pdf
August 01, 2014 - Sepesis or Septic Shock Technical Specifications
Q-METRIC Sepsis Measure 4, Timely Administration of Antibiotics … Sepsis and Septic Shock
U18HS020516 Page 50
Submitted August 2014
Sepsis
Measure 4: Timely Antibiotics … Parenteral
antibiotics
Administration of antibiotics via the intravenous, intramuscular or intraosseous … Antibiotics must be in one of the classes listed in Table 4-C. … OR
• Antibiotics administered OR
• Orders for urine, blood or spinal culture OR
• Urine, blood or
-
www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic … prescription and asymptomatic bacteriuria, which does not require antibiotics and should not be treated … clinicians explaining the form and its rationale (tool 2) ( PDF | Word ) Not All “Infections” Need Antibiotics … The handout Not All “Infections” Need Antibiotics (tool 3) also should be given to nurses. 1 American … Standardizing antibiotic use in long-term care settings (SAUL study).
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T4-Concise_Antibiogram_Toolkit_How_to_Enter_Data_Manually_into_an_Antibiogram_Template.pdf
May 01, 2014 - %) susceptibilities
based on 20 isolates should still give a general idea of how effective various antibiotics … Only include percent (%) susceptibilities for antibiotics where at least 70 percent of
the isolates … Different isolates of an organism are not always tested for
susceptibilities to the exact same antibiotics … Because of this uncertainty, we recommend
you only include percent (%) susceptibilities for antibiotics … So, in the example, percent (%)
susceptibilities for antibiotics which about 20 or more E. coli isolates
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
September 01, 2022 - antibiotics
Recognize types of reactions to antibiotics commonly prescribed in the outpatient setting … reports an allergy to penicillin
95% of people who report a penicillin allergy can tolerate beta-lactam antibiotics … antibiotics are more likely to receive an alternative, broader spectrum antibiotic that:
Is less effective … Palpable purpura
Joint pain
Urticaria
Lymphadenopathy
Fevers
Most commonly occur after several days of antibiotics … DRESS syndrome
Nonsevere reactions
Maculopapular/morbilliform rash
Generally occur days to weeks after antibiotics