-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - antibiotic prescribing practices in the ambulatory care setting
Slide 2
The Importance of Antibiotics … SAY:
The discovery of antibiotics has led to countless lives being saved compared to the pre-antibiotic … Slide 4
Antibiotic Overuse
SAY:
At least 30 percent of all antibiotics prescribed in ambulatory practices … It is susceptible to all tested antibiotics. … for Improving Antibiotic Use – Ambulatory Care Antibiotics & Clostridioides difficile 12 • Virtually
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - antibiotic prescribing practices in the ambulatory care setting
Slide 2
The Importance of Antibiotics … SAY:
The discovery of antibiotics has led to countless lives being saved compared to the pre-antibiotic … Slide 4
Antibiotic Overuse
SAY:
At least 30 percent of all antibiotics prescribed in ambulatory practices … It is susceptible to all tested antibiotics. … for Improving Antibiotic Use – Ambulatory Care Antibiotics & Clostridioides difficile 12 • Virtually
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
June 01, 2021 - The prescriber should choose an antibiotic
that covers the most likely pathogens. … What duration of antibiotic therapy is needed for the resident’s
diagnosis? … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we
narrow therapy? Can we change to oral antibiotics? … If the resident is getting an intravenous antibiotic, can they
get an oral antibiotic instead?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-one-pager.pdf
September 01, 2022 - to pediatric otolaryngology if the child is not ill appearing but has persistent symptoms
despite antibiotic … Antibiotics Antibiotics Antibiotics
6 months to < 2 years Antibiotics
Antibiotics Antibiotics … Antibiotics or observation
2 years and older Antibiotics
Antibiotics Consider observation … AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care Acute Otitis Media 2 … Antibiotic
recommendations for acute otitis media and
acute bacterial sinusitis: Conundrum no more.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 18, 2015 - Each time you take an antibiotic, you increase your risk of developing a
resistant infection in the … The Antibiotic Resistance Crisis
The overuse of antibiotics has contributed to increasing antibiotic … resistance
– which is the ability of bacteria to resist the effects of an antibiotic. … “Antibiotic resistance is rising for many different
pathogens that are threats to health. … Save antibiotics for when you really need them
The call to reduce unnecessary use of antibiotics is
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
November 01, 2019 - Ask, “Does my patient have an
infection that requires antibiotics?” … Ask, “Have I ordered appropriate
cultures before starting antibiotics? … Moment 3 occurs on every subsequent day of antibiotic
therapy. … Ask three questions, “Can I stop antibiotics? Can I
narrow therapy? … The
prescriber should ask, “Can I stop antibiotics?
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
Slide Title … Moments of Antibiotic Decision Making. … In this study, 96 percent of patients who were given an antibiotic prescription right away took antibiotics … antibiotics. … Slide 9
The Four Moments of Antibiotic Decision Making
SAY:
Moment 3 is: If antibiotics are indicated
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
Slide Title … Moments of Antibiotic Decision Making. … In this study, 96 percent of patients who were given an antibiotic prescription right away took antibiotics … antibiotics. … Slide 9
The Four Moments of Antibiotic Decision Making
SAY:
Moment 3 is: If antibiotics are indicated
-
psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics
May 11, 2011 - Book/Report
Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics … Citation Text:
Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? … Antibiotic overuse is a contributor to nosocomial infection. … This report discusses problems associated with antibiotic prescribing during the first 6 months of the … Systemic problems arising from the situation include disparities associated with antibiotic administration
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
September 01, 2022 - Guide
AHRQ Safety Program for Improving
Antibiotic Use
The “Never Antibiotics” Diagnosis: Acute Viral … Harm associated with antibiotics includes adverse drug events, microbiome disruption, and antibiotic … About 10 percent of people who receive an antibiotic develop diarrhea. … Second, patients may expect an antibiotic because in previous medical encounters an antibiotic has been … Slide 16
The Four Moment of Antibiotic Decision Making
SAY:
Returning to the Four Moments of Antibiotic
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
September 01, 2022 - Guide
AHRQ Safety Program for Improving
Antibiotic Use
The “Never Antibiotics” Diagnosis: Acute Viral … Harm associated with antibiotics includes adverse drug events, microbiome disruption, and antibiotic … About 10 percent of people who receive an antibiotic develop diarrhea. … Second, patients may expect an antibiotic because in previous medical encounters an antibiotic has been … Slide 16
The Four Moment of Antibiotic Decision Making
SAY:
Returning to the Four Moments of Antibiotic
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-slides.pptx
November 01, 2019 - infection that requires antibiotics? … for Improving Antibiotic Use – Acute Care
Sepsis
Sepsis: Antibiotic Timing
Antibiotics should be … infection that requires antibiotics? … .
21
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Sepsis
Narrowing Antibiotics … have an infection that requires antibiotics?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-residents.pdf
June 01, 2021 - Do I need an
antibiotic? … Question 2
Is this the right
antibiotic? … help
your doctor and
nurse know if an
antibiotic will work. … These should be
collected before
starting an antibiotic. … Question 2
Is this the right antibiotic?
Question 3 How long
do I need to be on antibiotics?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-form.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Form
AHRQ Safety Program for
Improving Antibiotic … Antibiotic regimen and indication:
Antibiotic: ___________________________________________________ … Were appropriate cultures ordered before antibiotics were started? … CAN WE STOP ANTIBIOTICS? CAN WE NARROW THERAPY?
11. Are antibiotics still needed? … CAN WE STOP ANTIBIOTICS? CAN WE NARROW THERAPY?
-
effectivehealthcare.ahrq.gov/products/pneumonia-antibiotic-treatment/research-protocol
July 19, 2013 - Antibiotic PD relates PK parameters to the ability of an antibiotic to kill or inhibit growth of bacterial … Concentration-dependent antibiotic: peak concentration to MIC ratio (C max /MIC)
Time-dependent antibiotic … , clinicians can optimize the PD effects of antibiotics by altering the dosing methods for the antibiotic … Rates of antibiotic-related adverse events? … ] OR "Anti-Bacterial Agents"[mesh])
Limits
Humans
English language
Adults 19+ years or Adults
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
November 01, 2019 - As I have
more clinical and microbiologic data available can I stop
antibiotics, can I narrow antibiotics … , or can I change
from intravenous to oral antibiotics? … have an infection that requires antibiotics?” … for
the continued need for antibiotics is needed. … can be treated for a 5-day course of
antibiotics.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
September 01, 2022 - Do you have any allergies to any antibiotics? Which antibiotics?
2. What was the reaction? … How soon after taking the antibiotic did the reaction occur?
3. … Have you been able to take other antibiotics? Which ones? … Document antibiotics he/she tolerated previously in the chart.
5. … Rash that appeared at least 2 days after the
antibiotic started.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - Slide 2
Problems With Taking Antibiotics
SAY:
Slide 3
Antibiotic Resistance
SAY:
The sad fact … Not only that, but the antibiotic development pipeline is dry. … Yet if antibiotic resistance does develop, it will limit the effective lifespan of the drug. … Other areas of antibiotic overuse are veterinary care, food production, and aquaculture. … Our last module will then provide some guidelines on antibiotic selection.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - *
Quality Improvement for Antibiotic Prescribing
Problems with taking antibiotics
Drug resistance … Not only that, but the antibiotic development pipeline is dry. … Furthermore, because of concerns about antibiotic resistance, use of new agents is discouraged by the … Yet if antibiotic resistance does develop, it will limit the effective lifespan of the drug. … Other areas of antibiotic overuse are veterinary care, food production, and aquaculture.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/intervention-worksheet.pdf
June 01, 2021 - stewardship interventions can occur before antibiotics are prescribed (pre-prescription
interventions … ) and after antibiotics have been started (post-prescription interventions) … started AND to reassess the need for continued antibiotics
after they are started … of antibiotic therapy
Use of guideline-concordant antibiotics
Clostridioides difficile LabID events … • Pocket cards distributed to staff indicating
minimum criteria for starting antibiotics.