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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - for Improving Antibiotic Use
1
The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia
Ambulatory … infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … was noninferior to 8 days of antibiotics. … He hasn’t taken any antibiotics recently.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - of bacteria that cannot be treated with the
antibiotics you have been taking. … [Optional: Insert specific information about the bacteria found,
the culture site, and which antibiotics … Antibiotics are drugs that kill bacteria that cause infections. … When the bacteria are resistant to many antibiotics, they are called
“multidrug-resistant organisms, … http://www.cdc.gov/drugresistance/about.html
FDA: Antibiotics and Antibiotic Resistance http://www.fda.gov
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www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics
Know When To Order Urine Cultures … antibiotics, and why and how to document signs and symptoms, and use communication strategies to address … Antibiotic Stewardship educational video
This 5-minute educational video promotes antibiotic stewardship … When Do You Need An Antibiotic? … PDF , 814.2 KB)
A brochure to help facility staff communicate with residents and families on when antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
November 01, 2019 - that requires antibiotics? … that requires antibiotics? … that requires antibiotics? … that requires antibiotics? … requires antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - 4
The Four Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics … antibiotics? … 18
The Four Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics … courses into
practice
Order sets with preset antibiotic durations
Evaluation of need for oral antibiotics … cultures are obtained and source control followed by a short course of antibiotics
Avoid prolonged antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
September 01, 2022 - Antibiotic Use – Ambulatory Care
2
The Importance of Antibiotics
Saved countless lives
Prompt administration … 30% of antibiotics prescribed in ambulatory practices are unnecessary9
59% of antibiotic expenditures … Lingering cough; antibiotics extended for a 14-day course
6
Focus on Antibiotic Prescribing
AHRQ … Care
10
Antibiotics & Clostridioides difficile12
Virtually all antibiotics can
increase the risk … antibiotics also have associated harm
Promoting antibiotic stewardship can improve patient outcomes
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
June 01, 2023 - and Mechanical Bowel Prep 2
Antibiotic and Mechanical Bowel Prep in the 1970s
1970s
AHRQ Safety Program … 1970s
Antibiotic and Mechanical Bowel Prep in the 1980s
Badly done study in England appeared to show … and Mechanical Bowel Prep 4
1980s
1990s
Antibiotic and Mechanical Bowel Prep in the 1990s
Studies … and Mechanical Bowel Prep 5
1980s
1990s
2000s
Antibiotic and Mechanical Bowel Prep in the 2000s … Antibiotic prophylaxis for colorectal surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.pdf
October 01, 2016 - But, side effects vary a lot from person
to person, and from antibiotic to antibiotic.
3. … This is called antibiotic resistance. … In other words, the
more often you use an antibiotic, the greater the chance that the antibiotic won’ … – Second, we have an antibiotic stewardship program to—
Make sure that antibiotics are used only … When Taking an Antibiotic
• When taking an antibiotic, your family member may experience several side
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
October 01, 2016 - is effectively treated.
· Unneeded antibiotics can do more harm than good.
· Before taking an antibiotic … But, side effects vary a lot from person to person, and from antibiotic to antibiotic.
1. … In other words, the more often you use an antibiotic, the greater the chance that the antibiotic won’ … Second, we have an antibiotic stewardship program to—
Make sure that antibiotics are used only when absolutely … When Taking an Antibiotic
· When taking an antibiotic, your family member may experience several side
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
October 01, 2016 - • Before taking an antibiotic, it is important to understand how antibiotics could harm or
hurt you … But, side effects vary a lot from person to person, and
from antibiotic to antibiotic.
3. … This is called antibiotic resistance. … In other words, the more often
you use an antibiotic, the greater the chance that the antibiotic won … When Taking an Antibiotic
• When you take an antibiotic, you may experience several side effects such
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.html
October 01, 2022 - One-Page Document provides a brief summary of approaches to improve communication with patients about antibiotics … The Antibiotics: When Do you Need Them? … Patient Brochure (in English and Spanish) can be provided to patients and families to explain why antibiotics … Document (PDF, 181 KB)
Antibiotics: When Do You Need Them? … Patient Brochure (English) (DOCX, 318 KB)
Antibiotics: When Do You Need Them?
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/bronchitis.html
November 01, 2022 - The "Never Antibiotics" Diagnoses: Acute Bronchitis
After viewing or presenting this presentation … Manage patients with acute bronchitis without antibiotics. … The Never Antibiotics Diagnoses: Acute Bronchitis – Slides (PPTX, 14 MB)
The Never Antibiotics Diagnoses … Handouts
These handouts can be given to your patients to help them understand their infection and your antibiotic
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www.ahrq.gov/nhguide/about/index.html
November 01, 2024 - truly needed and using the right antibiotic for each infection. … Antibiotic stewardship can also save money. … When examining the cost of antibiotic medications alone, one study showed that antibiotic stewardship … Antibiotics are one of the most commonly prescribed medications in nursing homes and overuse of antibiotics … Get Smart About Antibiotics Week: November 18–24, 2013.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - from the pharmacy to the patient Invest in machines that can house certain antibiotics on the unit … 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? … The patient had a favorable response to diuresis so it is reasonable to stop his antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - Not all respiratory tract infections need to be treated with an
antibiotic. … A cough alone is typically not treated with an antibiotic. … • Antibiotics are important for treating you when you definitely have an infection, but
unneeded antibiotics … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
you … Antibiotic resistance.
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
October 01, 2016 - Not all respiratory tract infections need to be treated with an antibiotic. … A cough alone is typically not treated with an antibiotic. … Antibiotics are important for treating you when you definitely have an infection, but unneeded antibiotics … Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you. … Antibiotic resistance.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-questions.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making in Long Term Care_Questions
The Four Moments of
Antibiotic … Have we collected appropriate
cultures before starting
antibiotics? … Moment 3
Length of Therapy
What duration of antibiotic
therapy is needed for the
resident’s diagnosis … Most bacterial infections need 7 days or less
of antibiotics:
• Urinary tract infection (3 to 7 days … •Can we stop antibiotics?
•Can we narrow therapy?
•Can we change from intravenous to oral
therapy?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - A cough alone is typically not treated with
an antibiotic. … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
your … There are five potential health problems that occur as a result of taking
an antibiotic.
1. … Antibiotic resistance. … antibiotic stewardship program to make sure that antibiotics are
used only when absolutely necessary—when
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - A cough alone is typically not treated with an antibiotic. … Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt your family … There are five potential health problems that occur as a result of taking an antibiotic.
1. … Antibiotic resistance. … Second, we have an antibiotic stewardship program to make sure that antibiotics are used only when absolutely
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
September 01, 2022 - of antibiotics. … • The Antibiotics: When Are They Needed? … https://www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotics-brochure-english.docx … https://www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotics-brochure-spanish.docx … use and enhance the safety
of patients receiving antibiotics.