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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/implementing-stewardship.html
September 01, 2022 - Implementing Antibiotic Stewardship in Your Practice
After viewing or presenting this presentation … , viewers will be able to—
Describe the role of senior leadership in promoting antibiotic stewardship … Establish an Antibiotic Stewardship Team. … Identify sources of antibiotic prescription data and develop effective approaches to feedback antibiotic … Implementing Antibiotic Stewardship in Your Practice – Slides (PPTX, 3 MB)
Implementing Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - Intraoperative Prophylactic Antibiotics
Prophylactic antibiotics should be administered within 60 minutes … stewardship committee and include your pharmacist in standardizing your prophylactic antibiotic approach … Antibiotic Choice Is Independently Associated With Risk of Surgical Site Infection After Colectomy: A … Choice of Intravenous Antibiotic Prophylaxis for Colorectal Surgery Does Matter. … room
Enter team decisions/notes here
Tip: Standardize order sets to include antibiotic courses no
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www.ahrq.gov/antibiotic-use/long-term-care/improve/tools.html
June 01, 2021 - The Gap Analysis helps identify activities that are fundamental to an antibiotic stewardship program … The Commitment Poster is a public display of your institution’s commitment to prescribing antibiotics … frequently asked questions beyond the scope of this program, such as infection control and prevention or antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Final.pdf
June 01, 2014 - ¨ No ¨ Yes
¨ No ¨ Yes Advance directives for limiting treatment related to antibiotics and/or hospitalizations … Input (check all boxes that apply)
Resident WITH indwelling catheter
The criteria are met to initiate
antibiotics … Resident may require UA with C&S or an antibiotic.†
¨¨ Nursing home protocol criteria are NOT met. … The resident does NOT need an immediate
prescription for an antibiotic, but may need additional observation … ¨ Initiate the following antibiotic
Antibiotic: _________________________________ Dose: ________
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/review-form.html
June 01, 2021 - The Four Moments of Antibiotic Decision Making Form
A facility's antibiotic stewardship team … is encouraged to use Four Moments of Antibiotic Decision Making Form to review 5–10 residents each month … The Four Moments of Antibiotic Decision Making Form (PDF, 319 KB)
Completion Guide for the Four Moments … of Antibiotic Decision Making Form (PDF, 265.3 KB)
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
June 01, 2021 - indicates bacterial colonization
and does not require antibiotics … local recommendations to obtain a good
specimen that can be used to diagnose the
infection and guide antibiotic … A contaminated specimen, which may be due
to poor collection techniques, can lead to
unnecessary antibiotic … AHRQ Safety Program for Improving Antibiotic Use
Collecting Bacterial Cultures
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
November 01, 2019 - alternate diagnosis is identified, stop therapy for hospital-acquired pneumonia
· In most cases, stop antibiotics … if viral respiratory testing is positive
· Use sputum culture results to narrow therapy
· Stop antibiotics … Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized … Beta lactam antibiotic monotherapy versus beta lactam-aminoglycoside antibiotic combination therapy for
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-one-page.docx
November 01, 2019 - is less likely; consider stopping therapy
· Use respiratory culture results to narrow therapy
· Stop antibiotics … Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized … Ultra-short-course antibiotics for patients with suspected ventilator-associated pneumonia but minimal … Beta lactam antibiotic monotherapy versus beta lactam-aminoglycoside antibiotic combination therapy for
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Oral antibiotics completed at home 0 0 ERROR:#DIV/0! … Preoperative antibiotics administered 0 0 ERROR:#DIV/0! … Pathway Component Number of ERAS-Eligible Patients Compliance Percentage = (Column B/Column C)X100
Antibiotic … Postoperative antibiotics administered 0 0 ERROR:#DIV/0!
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www.ahrq.gov/sites/default/files/2024-07/alpern-report.pdf
January 01, 2024 - We investigated whether patient race/ethnicity was associated with differences in
antibiotic prescribing … Of 39,445 pediatric ED encounters that met
inclusion criteria, 2.6% (95% CI 2.4%, 2.8%) received antibiotics … and other non-Hispanic (aOR 0.68; 0.52, 0.87) children
remained less likely to receive unnecessary antibiotics … Racial and Ethnic Differences in Antibiotic Use for
Viral Illness in Emergency Departments. … Racial and Ethnic
Disparities in Antibiotic Prescribing for Emergency Department Visits With Viral
Diagnoses
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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/prescribing.html
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? … After viewing or presenting this presentation, viewers will be able to—
Explain why optimizing antibiotic … Understand how antibiotic stewardship teams can improve antibiotic prescribing practices in the ambulatory … Why Should Your Practice Focus on Improving Antibiotic Prescribing? … – Slides (PPTX, 5.4 MB)
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
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www.ahrq.gov/antibiotic-use/long-term-care/improve/track-measure.html
April 01, 2023 - Tracking and Measuring Antibiotic Use
After viewing or presenting this presentation, viewers … will be able to—
Learn how to collect and track antibiotic use in your long-term care setting. … Tracking and Measuring Antibiotic Use - Slides (PPTX, 4 MB)
Tracking and Measuring Antibiotic Use
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How can the practice develop and implement approaches to standardize when to prescribe antibiotics for … How should the practice measure compliance with the guidelines that we develop around antibiotic prescribing … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How can the practice support clinicians in consistently avoiding prescribing antibiotics for acute bronchitis … How will the practice track data on acute bronchitis and antibiotic prescribing?
4. … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1
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www.ahrq.gov/antibiotic-use/long-term-care/improve/communicate-prescribers.html
June 01, 2021 - Communicating Infectious Concerns With Antibiotic Prescribers
After viewing or presenting this … Recognize that SBAR can support the role of nurses as advocates for antibiotic stewardship. … Communicating Infectious Concerns With Antibiotic Prescribers – Slides (PPTX, 11 MB)
Communicating … Infectious Concerns With Antibiotic Prescribers – Facilitator Guide (DOCX, 3 MB)
Communicating … Infectious Concerns With Antibiotic Prescribers – Video (21 minutes)
The link below is intended
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How will members of the practice develop consistent messaging to patients that antibiotic treatment is … How will we track compliance with not prescribing antibiotics for these patients?
AHRQ Pub. … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/video-transcript-spanish.docx
June 02, 2025 - organisms in residents with catheters, and one resident developed a C. diff. infection, after receiving antibiotics … C. diff. infections most often occur when people are taking, or have just finished taking antibiotics … , so to solve these problems, we need to use antibiotics only when necessary and work on infection control … for 5 years, and I can still remember a couple of our residents who got C. diff. infections during antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team-updated.pdf
October 01, 2016 - CDC’s Core Elements of Antibiotic Stewardship in Nursing Homes
b. … https://www.cdc.gov/antibiotic-use/hcp/core-elements/nursing-homes-antibiotic-stewardship.html
https: … A basic knowledge of antibiotics
b. … Antibiotic stewardship programs in long-term care
facilities. … Antibiotic use in
nursing homes. 2014 Oct. Publication P-00886.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CAP-one-page.docx
November 01, 2019 - Staphylococcus aureus, including methicillin-resistant S. aureus (MRSA), in addition to standard CAP antibiotics … penicillin allergy
· Stop azithromycin after 3 days unless treating Legionella
· In most cases, stop antibiotics … Effectiveness of discontinuing antibiotic treatment after three days versus eight days in mild to moderate-severe … Short-course antibiotic treatment in acute exacerbations of chronic bronchitis and COPD: a meta-analysis … Efficacy of short-course antibiotic regimens for community-acquired pneumonia: a meta-analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - Antibiotic Use and Resistance
KEY MESSAGES
▪ Antibiotics are medications that can save lives when … ▪ Used incorrectly, antibiotics can lead to antibiotic-resistant infections. … for antibiotics. … and overuse of antibiotics can also lead to antibiotic-resistant
organisms, which can threaten not … An antibiotic stewardship program is a coordinated program that promotes the appropriate
use of antibiotics