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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/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - signs and symptoms of infection, patients with jaundice or non-obstructing gallstones do not require antibiotics … infection, patients with biliary colic (i.e., RUQ pain lasting 1–3 hours that resolves) do not require antibiotics … 5-10 days based on clinical response*
Uncomplicated acute cholecystitis, surgical management
No antibiotics … Fever-based antibiotic therapy for acute cholangitis following successful endoscopic biliary drainage … Effect of postoperative antibiotic administration on postoperative infection following cholecystectomy
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/COPD-one-page.pdf
November 01, 2019 - • Antibiotics are recommended for moderate to severe COPD exacerbations. … o Patients admitted for COPD exacerbations usually meet criteria for antibiotic treatment. … alternative agents for a 5-day course depending on risk factors for Pseudomonas
• Prophylactic antibiotics … Comparison of first-line with second-line antibiotics
for acute exacerbations of chronic bronchitis: … Reduced risk
of next exacerbation and mortality associated with
antibiotic use in COPD.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-2-ef.pdf
November 01, 2015 - Transcranial Doppler (TCD) Ultrasonography Screening for Children with SCD; and Appropriate Antibiotic … who were continuously enrolled in
Medicaid and during the
measurement year received
preventive antibiotics … children with SCA
receive yearly TCD screenings from ages 2 through 15.2
Prompt and consistent use of antibiotics … infants with SCA be started on twice-daily penicillin as early as possible and remain on
preventive antibiotics … ● Between States, the rates of prescriptions for antibiotics varied from 5 percent to 33 percent
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T6-Using_Nursing_Home_Antibiograms_to_Choose_the_Right_Antibiotic_Data_Entry_Form.xlsx
May 01, 2014 - No. 14-0012-6-EF
Helpful Hints
Using Nursing Home Antibiograms to Choose the Right Antibiotic
Tool … AHRQ 14-0012-6-EF 1/2014
Some Helpful Hints for using the spreadsheet template:
-Add or delete antibiotics … If your laboratory does not test against a certain antibiotic, delete that column. … Add in antibiotics that are missing. Also change abbreviations to match what your laboratory uses. … The first diagnostic isolate for each antibiotic per organism is collected.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T5-Antibiogram_Tool_Phase_2.xlsm
January 01, 2016 - SelOpts (hidden)
Antibiotics (SelA)
ID DESCRIPTION ORAL_IV
Emily Savelli: ORAL_IV:
1=IV
2=Oral … Use step 2 to enter the number of isolates and percents for each of the bacteria-antibiotic-culture combinations … Each box corresponds to a bacteria, each row to an antibiotic, and each column to a culture type. … step 2, which provides the weighted average over all the selected isolates/percents for each bacteria-antibiotic … Light pink antibiotics are Oral, and dark pink antibiotics are IV.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-slides.pptx
November 01, 2019 - Program for Improving
Antibiotic Use
AHRQ Pub. … Pharmacy and Therapeutics
(P&T)
Committee Decisions regarding formulary and restriction status of antibiotics … consults for patients with complicated infectious disease problems or for patients receiving certain antibiotics … Review ASP responses to antibiotic shortages. … guidelines
Consider guidelines for select antibiotics
Those that are expensive, highly toxic, and/or
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www.ahrq.gov/antibiotic-use/acute-care/improve/bedside-nurse.html
November 01, 2019 - The Role of the Bedside Nurse in Antibiotic Stewardship Interventions
After viewing or presenting … presentation viewers will be able to—
Examine what motivates health care providers to prescribe antibiotics … Review basic theories regarding implementation science to implement antibiotic stewardship (AS) interventions
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www.ahrq.gov/antibiotic-use/acute-care/improve/behavior-changes.html
November 01, 2019 - Making Effective Behavior Changes Around Antibiotic Prescribing
After viewing or presenting … presentation viewers will be able to—
Examine what motivates health care providers to prescribe antibiotics … Review basic theories regarding implementation science to implement antibiotic stewardship (AS) interventions
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
June 01, 2021 - Last time this
happened, the
doctor prescribed
an antibiotic and
he felt better. … • Many older people get an antibiotic for UTI treatment even though they
do not have symptoms of … • Sometimes feeling better after an antibiotic is not due to the antibiotic,
but instead due to improved … • Antibiotics do not help when there are no UTI symptoms, and we have
newer data indicating that … taking antibiotics when there is not an infection
can be harmful
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
June 01, 2021 - Last time this
happened, the
doctor prescribed
an antibiotic and
she got better. … • Symptoms of a respiratory infection that may indicate the need for an
antibiotic are a fever with … • Antibiotics will not help if she has a virus. … • Taking antibiotics when there is not an infection can be harmful. … • If something changes and she shows other signs or symptoms of a
bacterial infection, an antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-one-page.docx
November 01, 2019 - white blood cell count)
· In patients with acute uncomplicated diverticulitis, trials suggest that antibiotics … and 2015 American Gastroenterological Association Guidelines recommend selective rather than routine antibiotic … use
· Oral therapy (preferred if antibiotics are given): [Place local recommendations here]
· Intravenous … Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. … Prospective randomized trial comparing short-term antibiotic therapy versus standard therapy for acute
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - ☐ Establish and review antibiotic use protocols
☐ Monitor antibiotic use
☐ Track antibiotic use data … Is there is a formal procedure to review the appropriateness of all antibiotics 48–72 hours after … ☐ Yes
☐ No
Is there a process for intravenous to oral conversion of antibiotics in the pharmacy … Stewardship Team to target antibiotics commonly associated with Clostridioides difficile infection ( … any culture or susceptibility results as a strategy to assist prescribers in selecting appropriate antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T6-Using_Nursing_Home_Antibiograms_to_Choose_the_Right_Antibiotic_Data_Entry_Form.pdf
May 01, 2014 - Nursing Home Antimicrobial Stewardship Guide
Using Nursing Home Antibiograms To Choose the Right Antibiotic … Entry Form—Helpful Hints
Some Helpful Hints for using the spreadsheet template:
Add or delete antibiotics … If your laboratory does not test against a certain antibiotic, delete that column. … Add in antibiotics that are missing. Also change abbreviations to match what your laboratory uses. … The first diagnostic isolate
for each antibiotic per organism is collected.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T6-Using_Nursing_Home_Antibiograms_to_Choose_the_Right_Antibiotic_Data_Entry_Form.docx
May 01, 2014 - Nursing Home Antimicrobial Stewardship Guide
Using Nursing Home Antibiograms To Choose the Right Antibiotic … Data Entry Form—Helpful Hints
Some Helpful Hints for using the spreadsheet template:
Add or delete antibiotics … If your laboratory does not test against a certain antibiotic, delete that column. … Add in antibiotics that are missing. Also change abbreviations to match what your laboratory uses. … The first diagnostic isolate for each antibiotic per organism is collected.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
June 01, 2021 - for Improving Antibiotic Use
AHRQ Pub. … Use
Two measures of
monthly antibiotic use (by antibiotic)
1. … Days of antibiotic therapy
2. … 7
Antibiotic Starts
Count number of new antibiotics courses started in the facility in each month … New admissions on antibiotics should be included as a new antibiotic start
This is to capture total antibiotic
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit3-develop-implement-antibiogram-program.html
November 01, 2016 - nursing home-specific antibiogram may be an effective and inexpensive tool for improving appropriate antibiotic … across all residents for a certain time period—along with the susceptibility of each organism to various antibiotics … antibiograms provide information on local susceptibility patterns, they may help to reduce prescribing of antibiotics … This phase focuses on monitoring and evaluating the antibiogram and tracking the antibiotics prescribed … Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery – Final Report.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-facilitator-guide.docx
June 01, 2021 - diagnostic and treatment protocols for UTIs and respiratory tract infections that detailed recommended antibiotics … Showing data like this to prescribers, along with an evidence-based protocol with recommended antibiotics … The data also show how frequently he ordered a urine culture prior to initiating antibiotics for a UTI … These can be adapted from resources such as the Loeb minimum criteria for starting antibiotics, the revised … This can be helpful to monitor lengthy prescribing practices, but it doesn’t provide data on antibiotics
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www.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - Funding HAI and Antibiotic Resistance Research
AHRQ’s Healthcare-Associated Infections (HAI) … Health Care-Associated Infections: Road Map to Elimination and the research agenda of the Combating Antibiotic … Improving the appropriate use of antibiotics, including promoting antibiotic stewardship. … AHRQ funding is available for research on HAI prevention and combating antibiotic-resistant bacteria. … Two grants are available:
Large Research Projects for Combating Antibiotic-Resistant Bacteria (CARB
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - Similarly, inappropriate ordering of urine cultures can lead to improper use of antibiotics. … Urinalysis
Urine culture
Urinalysis and antibiotics
Culture and antibiotics
Nothing
Slide … Definitely don't start antibiotics! … Alternatives to ordering cultures and using antibiotics. … Possible side effects of antibiotic use.
Promote shared decision making.