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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Influenza and RSV
Ambulatory Care
Slide Title … an infection that requires antibiotics? … Antibiotics will not help. … Slide 29
The Four Moments of Antibiotic Decision Making
SAY:
Let’s talk about Moment Three: If antibiotics … For RSV, antibiotics are not indicated.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
March 01, 2017 - Antibiotic Stewardship Slides, Part 1: Hand Hygiene
How To Avoid the Harms of
Antibiotic Overuse
Training … antibiotics more thoughtfully. … She needs an antibiotic.“
[CLICK]
Today we will talk about the potential harm of antibiotics and try … Antibiotics can cause nausea, diarrhea, allergic reactions, and antibiotic-related infections. … Reason 21
Antibiotic resistance is a growing problem
Often forced to use older antibiotics to deal with
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www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making are … whenever the need for antibiotics is being considered. … Moment 2: Have I ordered appropriate cultures before starting antibiotics? … If there is no evidence of a bacterial infection, stop antibiotics. … antibiotic use using the Four Moments Framework for patients receiving antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - Every course of antibiotics carries these risks—and nursing home residents get a lot of antibiotics each … We are learning when to give antibiotics and when to withhold antibiotics.
6
Antibiotic Use in LTC … use of antibiotics.
7
Fighting Back Against Antibiotic Resistance1
Infection prevention IS antibiotic … Improving antibiotic prescribing
Bacteria are constantly evolving, requiring the need for new antibiotics … become resistant to antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-single.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
AHRQ Pub. … Have we
collected appropriate cultures before
starting antibiotics? … What duration of antibiotic therapy is
needed for the resident’s diagnosis? … It has been 2–3 days since we started
antibiotics. … Can we
stop antibiotics? Can we narrow therapy?
Can we change to oral antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-poster.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
Does the resident have symptoms that suggest an infection … Have we collected appropriate cultures
before starting antibiotics? … 1
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?
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making … Second , what empiric antibiotics should be started? … 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? … The Four Moments of Antibiotic Decision Making Review Form and Guide
The Antibiotic Stewardship Team
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - Slide 4
Antibiotic-Associated Adverse Events
SAY:
All antibiotics have the potential to harm … Slide 8
Antibiotic Development Is on the Decline
SAY:
Furthermore, the number of new antibiotics … There has been
an upswing in antibiotic development recently, but
novel antibiotics to treat infections … Antibiotics
remain a very precious resource, and appropriate
antibiotic use is critical to preserve … Our patient was prematurely started on broad
spectrum antibiotics when supportive care without
antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - To use antibiotics only when necessary, thereby protecting residents from unnecessary antibiotic exposure … No followup on the resident to note her response to antibiotics. … No followup on the resident to note her response to antibiotics. … No followup on the resident to note her response to antibiotics. … Cost of antibiotics
Use of guideline-concordant antibiotics
Clostridioides difficile infection rates
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - for Improving Antibiotic Use
The "Sometimes
Antibiotics" Diagnoses:
Acute Otitis Media in Children … of Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics? … Use – Ambulatory Care
When Antibiotics Are Indicated6,7
Child Age
< 6 months
Antibiotic therapy is … Four Moments of Antibiotic Decision Making
11
Does my patient have an infection that requires antibiotics … of ear findings supports antibiotics use in children greater than 2 years of age
Antibiotic treatment
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digital.ahrq.gov/ahrq-funded-projects/identifying-sepsis-phenotypes-associated-antibiotic-resistant-pathogens-using
August 01, 2024 - Current guidelines recommend the immediate use of broad-spectrum antibiotics for suspected sepsis to … However, this approach often leads to the overuse of these powerful antibiotics, even when they are not … immune to the effects of antibiotics, making infections harder to treat in the future. … better antibiotic use. … Quantify the impact of overly broad vs appropriate vs overly narrow antibiotics on patient outcomes in
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Antibiotic Stewardship FAQs
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI … Would it be useful for LTC facilities to assess local antibiotic resistance patterns in their facility … For example, if you think the antibiotic use is just a reflex or habit, you might bring up the concept … Overuse of antibiotics can be harmful to you and makes them less effective later when antibiotics really … Provide them with additional resources and materials, such as the “When Do You Need an Antibiotic?”
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/antibiotics-respiratory-infection_disposition-comments.pdf
January 27, 2016 - and that antibiotics could be
reduced overall. … message about antibiotics to
clinicians (“don’t prescribe antibiotics, but you
should give patients … Changed to “overuse of
antibiotics”
29. … use and antibiotic prescribing. … Peer Reviewer
#17 (TEP
Reviewer)
General Healthcare delivery, access to antibiotics,
antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotics-brochure-english.docx
September 01, 2022 - Antibiotics: When Do You Need Them? … Patient Brochure (English)
Antibiotics: When Do You Need Them?
AHRQ Pub. … Antibiotics – Patient Handout
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
Antibiotics … – Patient 2 Handout
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1.png
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - Needs an antibiotic. … Think before you reach for antibiotics! … Antibiotic resistance is a growing problem
Often forced to use older antibiotics to deal with resistant … Antibiotics won't help if he doesn't have a UTI.
Antibiotics could hurt him (e.g., diarrhea). … Slide 10: Avoid Knee-Jerk Antibiotics
Remember, unnecessary antibiotic use can lead to—
Resident
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - Antibiotics are a powerful tool that have made once deadly infections easily treatable. … If an antibiotic was started in the ED [emergency department], it was rare that the antibiotic was discontinued … There was more adding on layers of antibiotics versus removing antibiotics. … antibiotics, there were also groups that we really didn't have a lot of data on. … published in the US on how or why dentists prescribed antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-double.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making in Long-Term Care 4x6 Cards
Does the resident have symptoms … What duration of antibiotic therapy is
needed for the resident’s diagnosis? … Can we
stop antibiotics? Can we narrow therapy?
Can we change to oral antibiotics? … What duration of antibiotic therapy is
needed for the resident’s diagnosis? … Can we
stop antibiotics? Can we narrow therapy?
Can we change to oral antibiotics?
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-completion-guide.pdf
June 01, 2021 - Improving
Antibiotic Use
Completion Guide for the Four Moments of Antibiotic
Decision Making Form … ”
• Mark all supportive measures attempted prior to initiation of antibiotic use. … ”
• If the resident is not receiving antibiotics, mark “no.”
Question 6. … ”
• If the antibiotics will be continued, mark “no.”
Question 13. … Answer if the resident has been on antibiotics > 24 hours:
Question 12.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-guide.docx
September 01, 2022 - Program for Improving Antibiotic Use
1
The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in … have an infection that requires antibiotics? … Slide 12
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is, “If antibiotics are … antibiotics. … The decision to treat with antibiotics versus careful observation off of antibiotics should be made in
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/antibiotic-stewardship.html
October 01, 2024 - and Resources
Program Implementation of MRSA Prevention
Fundamental Best Practices Antibiotics … are life-saving drugs, but a significant amount of antibiotics in hospital settings are prescribed inappropriately … for each patient receiving antibiotics on the unit. … The tool asks the prescriber to: (1) Track prescribed antibiotics and treatment day; (2) Record indication … for continuing antibiotics; (3) Assess whether antibiotic therapy can be stopped, narrowed, or changed