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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article6.html
June 01, 2014 - The Institute of Medicine has prioritized decreasing the inappropriate use of antibiotics as one of the … use. 4,5 The Institute of Medicine has prioritized decreasing the inappropriate use of antibiotics … is the “safest” strategy; (5) time necessary for the provider to explain why antibiotics are not indicated … Parents' and physicians' views on antibiotics. Pediatrics 1997 Jun;99(6):E6. … Delayed antibiotics for respiratory infections.
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www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB). … Presentations
Improving antibiotic use should be viewed as a patient safety issue. … use and be engaged in reducing harm associated with antibiotic use. … Antibiotic Safety
Tools
The six tools below are designed to assist the Antibiotic Stewardship … and takes action when harm related to antibiotics is detected.
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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?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.docx
October 01, 2016 - Summary Report of Infections and Antibiotic Use
(This example focuses on data for evaluating antibiotic … use for suspected UTIs)
Month
Number of Resident Days
Number of Antibiotic Rx
Number of Antibiotic … Rx Divided by Number of Resident Days
Number of Residents Receiving Antibiotics for UTI (incl. … tracking use of specific antibiotics of concern in the nursing home)
Month
[Antibiotic Name]
[Antibiotic … Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.docx
October 01, 2016 - clinician]
This [quarterly / monthly] report is provided for your reference as we continue to monitor antibiotic … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home residents … Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17. … This report provides information regarding your prescriptions for antibiotics for residents over the … Resident Name
Infection Type/ Diagnosis
Last Treated
Organism Identified
Rx Date
Rx Duration
Antibiotic
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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
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh9.html
April 01, 2018 - BMI <40)
Event 642 (0.2)
Fail to protect patient effectively (failure related to skin prep, antibiotics … Event 182 (0.2)
Fail to administer indicated antibiotics
Event 543 (0.0325)
SSI risk for … BMI <40)
Event 642 (0.2)
Fail to protect patient effectively (failure related to skin prep, antibiotics … Event 182 (0.2)
Fail to administer indicated antibiotics
Event 659 (0.18)
Glove puncture … Event 182 (0.2)
Fail to administer indicated antibiotics
Event 138 (0.15)
Fail to remove
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.pdf
October 01, 2016 - Summary Report of Infections and Antibiotic Use
(This example focuses on data for evaluating antibiotic … of
Antibiotic
Rx Divided
by Number
of Resident
Days
Number of
Residents
Receiving
Antibiotics … Agents in Use
(This example focuses on tracking use of specific antibiotics of concern in the nursing … home)
Month
[Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
[ … Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
Jan In each cell,
enter the
number of
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www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_41_Measure_List.xlsx
February 20, 2014 - ) Y 3.0
OP-7 Prophylactic Antibiotic Selection for Surgical Patients Right antibiotics given (outpatient … Advice to stop smoking N 2.0
PN-5C Patients Given Initial Antibiotic(s) within 6 Hours After Arrival … Initial Antibiotic Right antibiotics given Y 2.0
PN-7 Pneumonia Patients Assessed and Given Influenza … lower blood pressure given (if needed) Y 2.0
SCIP-INF-1 Surgery Patients Who Received Preventative Antibiotic … (s) for Their Surgery Right antibiotics given Y 2.0
SCIP-INF-3 Surgery Patients Whose Preventative Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.pdf
October 01, 2016 - clinician]
This [quarterly / monthly] report is provided for your reference as we continue to monitor
antibiotic … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home
residents … This report provides information regarding your prescriptions for antibiotics for residents over
the … for your information only and is meant to help you
maintain an awareness of trends in infections and antibiotic … Infections and antibiotic resistance in nursing homes. Clin Microbiol
Rev. 1996 Jan;9(1):1-17.
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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).
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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
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-discussion-guide.docx
September 01, 2022 - Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How is the practice currently deciding which children with acute otitis media to treat with antibiotics … What guidelines/educational tools is the practice currently using to address the length of antibiotic … What anticipatory guidance will the practice use for patients who will not be started on antibiotics … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-one-page.docx
November 01, 2019 - cellulitis
· Incision and drainage of abscess is essential
· For skin abscess with minimal cellulitis, antibiotics … are of modest benefit once abscess is drained in uncomplicated cases
· Antibiotics are recommended … severely immunocompromised or with suspected necrotizing fasciitis should receive empiric broad-spectrum antibiotics … bites, and cellulitis associated with long-standing diabetic foot ulcers may also require alternative antibiotics … Discuss these cases with the antibiotic stewardship program and/or infectious diseases consultant.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gonzales.html
October 01, 2024 - When antibiotics are prescribed inappropriately or not taken correctly, the bacteria that antibiotics … Gonzales received a 5-year AHRQ grant to reduce the overuse of antibiotics to treat acute respiratory … His project, Minimizing Antibiotic Resistance in Colorado (MARC) , evaluated the impact of educational … The MARC project did help reduce antibiotic use in the community. … Gonzales received another 5-year AHRQ grant that allowed him to expand on his antibiotic stewardship
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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
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www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescriptions-study.html
January 01, 2019 - Nearly One in Four Antibiotic Prescriptions Were Unnecessary in Study of Privately Insured Patients in … The study, published today in BMJ , concluded that an additional 36 percent of antibiotic prescriptions … The analysis provides the most comprehensive estimates to date of inappropriate prescribing of antibiotics … Appropriate antibiotic prescribing means that the medication is recommended for the patient's condition … Many of these antibiotic prescriptions may have been inappropriate as well.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-bacterial-pneumonia.pdf
June 01, 2021 - are generally in reasonable health and who have not been hospitalized or exposed to
broad-spectrum antibiotics … • Residents with risk factors for resistant Gram-negative bacteria (hospitalized or broad-spectrum
antibiotics … Care
AHRQ Safety Program for Improving Antibiotic … Development of minimum criteria for the initiation
of antibiotics in residents of long-term-care
facilities … Comparison
of 8 vs 15 days of antibiotic therapy for ventilator-
associated pneumonia in adults: a
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www.ahrq.gov/topics/dental-health.html
November 01, 2015 - Increases Hospitalizations Among Older Dental Patients
More Than 80 Percent of Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Tracking and Measuring Antibiotic Use Data
Long-Term … It is useful to look at individual antibiotics as well as the combined total of all antibiotics. … This is the number of new prescriptions for each antibiotic and for all antibiotics. … Note that new admissions already on antibiotics should be counted as an antibiotic start. … If a resident receives two different antibiotics, count each as a start.