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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.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-clostridioides-difficile.pdf
June 01, 2021 - not needed for CDI treatment whenever possible.1
− If antibiotic therapy is still needed, select the … The risk of recurrence increases with age.1,2,11,12
− Avoiding systemic antibiotics is the best way … Management of Clostridioides difficile Infection (CDI)
AHRQ Safety Program for Improving Antibiotic … Meta-analysis of antibiotics and the risk of
community-associated Clostridium difficile
infection. … Risk of Clostridium difficile infection
with acid suppressing drugs and
antibiotics: meta-analysis.
-
www.ahrq.gov/news/newsletters/e-newsletter/916.html
June 01, 2024 - Study Finds No Improvement From Antibiotics for Patients With Lower Respiratory Tract Infections . … Study Finds No Improvement From Antibiotics for Patients With Lower Respiratory Tract Infections Prescribed … antibiotics did not reduce the duration and severity of coughing in patients with acute lower respiratory … , but antibiotic provision did not affect cough duration or overall severity, regardless of viral, bacterial … , which should be the target of antibiotic stewardship efforts.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 01, 2017 - Did the patient use a mechanical bowel preparation and oral antibiotics preoperatively? … (Check all that apply)
Mechanical bowel prep
Oral antibiotics
Normothermia Maintenance: Was the … Prophylactic Antibiotics: Did the patient receive appropriate antibiotic selection, dosing, timing, and … Which antibiotic(s) were selected?
Antibiotic 1:
Appropriate for procedure? … Antibiotic 1:
Administration time:
Antibiotic 2:
Administration time:
11.
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - yes, please specify:
Did the patient use a mechanical bowel preparation and oral antibiotics … (Check all that apply)
Mechanical bowel prep ___
Oral antibiotics ___
Normothermia … Prophylactic Antibiotics: Did the patient receive appropriate antibiotic selection, dosing, timing, … Antibiotic 1:
Administration time:
Antibiotic 2:
Administration time:
Case duration … Antibiotic 1:
First redose time:
Second redose time:
Antibiotic 2:
First redose time:
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - care
• If infection suspected:
o Notify physician or advanced practitioner to discuss need for antibiotics … hypotension, fever, tachycardia) or severe symptoms:
o Obtain blood cultures, if possible
o Administer antibiotics
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit) … When an antibiogram was implemented in nursing homes, results suggested that it had an effect on antibiotic … an infection during a certain time period—along with the susceptibility of each organism to various antibiotics … Because antibiograms provide information on local susceptibility patterns, they may improve the use of antibiotics … Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery.
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - dosing, maintenance of normoglycemia, the use of selected mechanical bowel prep with oral antibiotics … Johns Hopkins also does quite well at discontinuing antibiotics. … The front line said, we’re not always giving the antibiotics at the right time. … Slide 16: Antibiotic Audit Tool
Say:
This is the antibiotic audit tool. … antibiotics protocol for your hospital.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - Antibiotics are among the most commonly prescribed pharmaceuticals in long-term-care settings, yet reports … indicate that a high proportion of antibiotic prescriptions are inappropriate. … use of antibiograms can help reduce inappropriate prescribing and lead to fewer clinical failures of antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptx
June 01, 2021 - PowerPoint Presentation
Partnering With a Senior Executive
AHRQ Safety Program for Improving Antibiotic … No. 17(21)-0029
June 2021
AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Senior … Ability to impact structure for your antibiotic stewardship program. … Problem
Concerned family members who insist on antibiotics
Solution
A communication tool for nurses … to use to discuss antibiotics
Result
Situation is getting worse after 2 months
14
AHRQ Safety Program
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0765-150129.pdf
November 03, 2014 - uncertainty regarding indications for
Summary: tympanostomy in children as well as the prescription of antibiotics … drops
and/or systemic antibiotics for children with tympanostomy tube otorrhea (TTO)? … drops or systemic antibiotic administration
Comparator(s): Systemic antibiotic administration or topical … Should clinicians prescribe topical antibiotic eardrops and/or antibiotics for children
with uncomplicated … approximately 16% of children
within four weeks of surgery and 26% of children while tubes are in place.3 Antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - meet guidelines for treatment, and we have several residents who have suffered adverse events from antibiotics … This has resulted in missed lab results showing adverse effects of antibiotics, such as worsening kidney … on antibiotics.
· The team works with the nurse managers to develop a communication tool for nurses … to use to talk about antibiotics.
· Two months after launching the tool, the antibiotic stewardship team … There are good posters highlighting the importance of using antibiotics carefully to avoid unnecessary
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - AH : Antibiotic stewardship is about the effective use of antibiotics to optimize how we treat infections … We're not talking about withholding antibiotics where they're necessary, but about effective use of antibiotics … and ensuring access to antibiotics. … You mentioned one, the delayed antibiotic idea. What are some of the others that are taking root? … Antibiotic stewardship should be part of the quality agenda in hospitals; whether it sits directly in
-
psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - AH : Antibiotic stewardship is about the effective use of antibiotics to optimize how we treat infections … We're not talking about withholding antibiotics where they're necessary, but about effective use of antibiotics … and ensuring access to antibiotics. … You mentioned one, the delayed antibiotic idea. What are some of the others that are taking root? … Antibiotic stewardship should be part of the quality agenda in hospitals; whether it sits directly in
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
September 01, 2022 - Treatment
• Antibiotics are not indicated for the treatment of the common cold.1
• Patients should … • Antibiotic treatment does not prevent complications.9
• Symptoms usually last about 1 week and up … Infection (“the Common Cold”)
Upper Respiratory Tract Infection AHRQ Safety Program for Improving Antibiotic … Antibiotics for the
common cold and acute purulent rhinitis. … Protective effect of antibiotics against
serious complications of common respiratory
tract infections
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-one-page.pdf
November 01, 2019 - younger than
2 years of age
o Do not repeat testing within 7 days
Treatment
• Discontinue antibiotics … not used for CDI treatment whenever possible
• If antibiotic therapy is still needed, select the narrowest … Meta-
analysis of antibiotics and the risk of community-
associated Clostridium difficile infection. … Risk of
Clostridium difficile infection with acid suppressing
drugs and antibiotics: meta-analysis. … Effect
of a national 4C antibiotic stewardship
intervention on the clinical and molecular
epidemiology
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
June 01, 2021 - Stewardship Program
Antibiotic Stewardship Policy
Template
Four Moments of Antibiotic Decision … Questions To Ask Your Doctor
or Nurse About Antibiotics Poster
Four Moments of Antibiotic Decision … Distribute and review the Delirium
cards
Display the Four Questions To Ask
Your Doctor or Nurse About
Antibiotics … Residents With Family
Members and
Caregivers
Talking With Residents and Family
Members About Antibiotics … using the Monthly Data Collection
Form
Review the Talking With Residents
and Family Members About
Antibiotics