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21. Reduce Unnecessary Urine Culturing and Overuse of Antibiotics | Agency for Healthcare Research and Quality
    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 … Educational module and tools that summarize why more urine cultures lead to more catheter-associated … tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine culture … Four Things You Should Know About Urine Cultures infographic   ( PDF , 228 KB) A tool to highlight

22. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
    April 01, 2022 - 1-5 Ordering urine cultures thoughtfully, so they inform (not misinform) the care of individual patients … the electronic medical record to include appropriate indications for urine cultures in catheterized … overuse/CDI More resistant organisms Correct diagnosis missed Implementing Culturing Stewardship28 Beliefs … However, a urinalysis was sent, and this hospital performs reflex cultures. … The influence of contaminated urine cultures in inpatient and emergency department settings.

23. Urine Culture Collection (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-urine-collection.pdf
    June 01, 2021 - Urine Culture Collection AHRQ Pub. … should perform hand hygiene before collecting urine cultures … peri-urethral region before collecting urine cultures … • For residents with catheters, urine culture specimens should be obtained from newly placed … AHRQ Safety Program for Improving Antibiotic Use Urine Culture Collection

24. 5 Tk2 T2-Concise Antibiogram Toolkit Getting Started (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.pdf
    May 01, 2014 - You will need the results of diagnostic cultures—that is, cultures taken from residents suspected of … performed for each culture. … Request this data for diagnostic cultures (cultures from residents suspected of having an infection) … name  Culture date  Culture source  Culture results (organism(s))  Antibiotic susceptibilities … You should record the culture information for every diagnostic culture result in the timeframe of interest

25. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
    November 01, 2019 - Lower cutoffs may be considered if the patient has received antibiotics before the culture was sent, … if there is strong clinical suspicion of a UTI, or if the culture is from a suprapubic catheter. … culture can be as low as 1,000 cfu per mL of a urinary pathogen. … Third, a positive urine culture is considered ≥ 1,000 CFU per mL of a urinary pathogen. … Therapy should be narrowed based on culture results.

26. PowerPoint Presentation (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T5-Training_Slides_for_Nursing_Home_Nurses_Phase_3.ppt
    May 01, 2014 - Initial decisions on prescribing antibiotics often are made before culture and sensitivity results are … Prescribing clinicians often make decisions before a culture and sensitivity results are available, and … Of # cultures used to make the antibiograms, x% were urine cultures. x% were wound cultures. … x% were sputum cultures. … First, most of the data are from XXXX cultures, and of the cultures used, the most common was urine/wound

27. CAUTI-Related Data Collection Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/collect-tool.html
    March 01, 2017 - Catheter Utilization Ratio (Number of catheter days / Number of resident days) x 100 0 Urine Culture … Collection Rate (Cultures per 1,000 resident days) (Number of collected urine cultures / Number … This should be collected at the same time each day. 0 Urine Cultures: Number of urine cultures … Resident Catheter Days (# of residents w/catheters) Resident Days (# of residents) Urine Cultures

28. LTC Data Collection Tool (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-collection-tool.xlsx
    March 01, 2017 - Catheter Utilization Ratio (Number of catheter days / Number of resident days ) x 100 0 Urine Culture … Collection Rate (Cultures per 1,000 resident days) (Number of collected urine cultures / Number of resident … This should be collected at the same time each day. 0 Urine Cultures: Number of urine cultures collected … new events) Resident Catheter Days (# of residents w/catheters) Resident Days (# of residents) Urine Cultures

29. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
    November 01, 2019 - Have I ordered appropriate cultures before starting antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Send urinalysis (UA) and urine cultures when patients have symptoms of UTI Do not send urine cultures … Positive urine culture: ≥ 1000 CFU/mL of a urinary pathogen. … Ask colleagues why the urine culture was sent (was there a suspicion for UTI at some point?).

30. 041-Pros-Cons-Mrsa-Surveillance-One-Pager (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/041-pros-cons-mrsa-surveillance-one-pager.docx
    October 01, 2024 - Active Surveillance1 Involves collecting cultures at admission and/or during hospital stay Advantages … additional resources, including increased supplies and staff time to collect and process surveillance cultures … Passive Surveillance1 Involves monitoring the results of clinical cultures that grow MRSA Passive … surveillance methods: · Monitor results of all clinical cultures from symptomatic patients to document … and analyze the cultures that grow MRSA · Use laboratory-identified (LabID) MRSA bacteremia surveillance

31. 5 Tk2 P2T8-Sample Antibiogram Phase 2 (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.doc
    May 01, 2014 - : Of XXX cultures used to make the antibiograms, XX% were urine cultures, YY% were wound cultures, and … Z% were sputum cultures. … · The leading organisms for positive urine cultures were: · E. coli: XX% of urine cultures · Enterococcus … Urinary tract infections (UTIs) from gram-negative organisms · XX% of positive urine cultures were due … Gram positives · XX of XX (XX%) Staph. aureus cultures were MRSA.

32. 5 Tk2 P2T8-Sample Antibiogram Phase 2 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.pdf
    May 01, 2014 - : Of XXX cultures used to make the antibiograms, XX% were urine cultures, YY% were wound cultures, … and Z% were sputum cultures. … • The leading organisms for positive urine cultures were: o E. coli: XX% of urine cultures o Enterococcus … Urinary tract infections (UTIs) from gram-negative organisms • XX% of positive urine cultures were due … Gram positives • XX of XX (XX%) S. aureus cultures were MRSA.

33. PowerPoint Presentation (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.ppt
    May 01, 2014 - In addition to ordering a urine culture, which of the following procedures would you follow? … Wait for the urine culture results. … XX % were wound cultures. XX % were sputum cultures. … In addition to ordering a urine culture, which of the following procedures would you follow? … Wait for the urine culture results.

34. 4 Things You Should Know About Urine Cultures | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/4-things.html
    March 01, 2017 - 4 Things You Should Know About Urine Cultures AHRQ Safety Program for Long-Term Care … Bacteriuria is the term used to describe a positive urine culture, the presence of bacteria in the urine … Inappropriate triggers for urine cultures include— Urine color Urine smell Urine sediment Cloudy … Urine cultures should only be ordered if one or more CAUTI symptoms are present.

35. 040-Mrsa-Surveillance-Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docx
    October 01, 2024 - Slide 13 Culture Collection Sites SAY: The sensitivity of surveillance specimens obtained from different … Slide 14 When To Collect Cultures SAY: Active surveillance cultures can be collected at predetermined … Admission surveillance cultures detect patients colonized with MRSA at admission. … hospital admission and the time of the weekly surveillance culture. … The MRSA rates, measured through passive surveillance of clinical culture results, decreased.

36. 5 Tk2 P3T8-Sample Pocket Card Long Version Phase 3 (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T8-Sample_Pocket_Card_Long_Version_Phase_3.doc
    May 01, 2014 - Version 9” (4 @ 2.25”) x 3.25” Key Findings From the Antibiograms · Most of our data come from urine cultures … : Of 192 cultures used to make the antibiograms, 93% were urine cultures, 6% were wound cultures, and … 1% were sputum cultures. … · The leading organisms for positive urine cultures were: · E. coli: xx% of urine cultures · Enterococcus … Gram Positives · 11 of 14 (xx%) Staphylococcus aureus cultures were Methicillin-resistant Staphylococcus

37. Appendix 3. Guidelines to Prevent Central Line-Associated Blood Stream Infections | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/clabsi-tools/appendix-3.html
    March 01, 2018 - C-VAD Line Cultures: Indications Slide 29. C-VAD Line Cultures: Method Slide 30. … C-VAD Line Cultures: Interpretation Slide 31. Blood Cultures Slide 32. … C-VAD Line Cultures: Indications   The utility of catheter cultures is controversial; nonetheless … C-VAD Line Cultures: Interpretation   A catheter culture yield of ≥15 colony forming unit, accompanied … two sets of peripheral blood samples drawn for culture.

38. Antibiotic-Targets-Facilitator-Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
    June 01, 2021 - Have we collected appropriate cultures and diagnostic tests before starting antibiotics? … The prescriber also considered part of Moment 2; she ordered appropriate cultures before prescribing … They are not using appropriate diagnostic criteria before ordering urine cultures. … This leads to unnecessary antibiotics prescribed for residents with positive urine cultures. … Adaptive Problems SAY: Adaptive problems are problems for which solutions require a change in attitudes, beliefs

39. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
    June 01, 2021 - and Measuring 8 Antibiotic Starts 9 Tracking and Measuring 9 C. difficile Lab Events and Urine Cultures … C.difficile LabID events [enter # C.Difficile LabID events for the reporting month] Number of urine cultures … collected [enter # urine cultures collected in the reporting month] Record C. difficile LabID events … easily accessible Data is concordant with current NHSN* requirements Record monthly number of urine cultures … collected Record all urine cultures collected, not only positive urine cultures Obtain information from

40. Patient Self-Management | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/patient-self-management.html
    setting, and providing tailored education and skills training using materials appropriate for different cultures