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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - As with all
antimicrobials, we must be vigilant about antimicrobial resistance. … o Evidence for emergence of antimicrobial resistance during the use of mupirocin
is mixed. … increased resistance to mupirocin in the
absence of broad use of mupirocin,24 and no increase in resistance … o Chlorhexidine resistance has been rarely reported in the United States. … Thus far, despite wide use, CHG resistance has rarely been reported in the United States.
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ce.effectivehealthcare.ahrq.gov/topics/methicillin-resistant-staphylococcus-aureus-mrsa.html
Recent Research Studies
Bayesian modeling of the impact of antibiotic resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
October 01, 2016 - The last problem is called antibiotic resistance. … This is called antibiotic resistance. … When resistance develops, the doctor will need to prescribe a different antibiotic to fight the infection … Decrease the likelihood that residents experience any harm, including C. diff infections and antibiotic resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
October 01, 2016 - The last problem is called antibiotic resistance. … This is called antibiotic resistance. … – When resistance develops, your doctor will need to prescribe a different antibiotic
to fight your … Decrease your risk of experiencing any harm, including C. diff infections and
antibiotic resistance
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ce.effectivehealthcare.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
March 01, 2024 - opportunities for research on diagnostic safety and combating healthcare-associated infections and antibiotic resistance … Funding Opportunities
Funding HAI and Antibiotic Resistance Research .
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
February 07, 2019 - greatest impact
• Extend patient safety improvement to all settings
• Prevent HAIs, reduce antibiotic resistance
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ce.effectivehealthcare.ahrq.gov/news/newsroom/press-releases/antibiotic-stewardship-hospital.html
February 01, 2021 - healthcare-associated infections in the first place, a foundational step toward combating antibiotic resistance
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
February 01, 2024 - Accept and plan for resistance. Resisters help to clarify the problem. … Use the following actions to overcome resistance to change:
Acknowledge change as a process. … Think about how to handle resistance. … How can you leverage your Change Team to strategize, plan, and control the impact of resistance?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T3-Prescribing_Clinician_Feedback_Survey_Phase_4.doc
May 01, 2014 - 1–5 with “5” indicating “very well”, how well do you feel that you know the antibiotic sensitivity/resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
January 01, 2018 - greatest impact
• Extend patient safety improvement to all
settings
• Prevent HAIs, reduce antibiotic resistance
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-pennsylvania-state-snapshot.pdf
January 01, 2018 - Challenges included
vendor resistance to making changes, staff availability to
implement changes, and … provider resistance to change. … for health systems, given competing
demands for resources and providers’ time, as well as
vendors’ resistance
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ce.effectivehealthcare.ahrq.gov/news/newsroom/press-releases/antibiotic-prescribing.html
July 01, 2022 - "Antibiotics save lives—but we must use them judiciously to reduce the chance of resistance and ensure … to half of all prescriptions are medically inappropriate, which can increase the risk of antibiotic resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - Treatment of ASB May Cause Harm6-9, 14
Treatment is associated with—
Adverse events and development of resistance … the patient is hospitalized
Avoid fluoroquinolones
No longer first-line therapy in guidelines due to resistance … consider
First-line recommendations
Nitrofurantoin
Trimethoprim/sulfamethoxazole (TMP/SMX) (check local resistance … Must consider local E. coli resistance data as not recommended for empiric therapy if resistance is seen
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - and Shortest Regimen12
Penicillin or amoxicillin is first line in children and adults
No reported resistance … Mild penicillin allergy
First generation cephalosporins such as cephalexin or cefadroxil
No reported resistance … Severe penicillin allergy
Clindamycin or azithromycin
Resistance occurs and is increasing
The duration
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - addition of clindamycin to oral third-generation cephalosporins because of concern for Strep pneumoniae resistance … of clindamycin to oral third-generation cephalosporins only if there is high risk of S. pneumoniae resistance … extensive prior antibiotic exposure, multiple comorbidities, or high community rates of S. pneumoniae resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.docx
October 01, 2016 - Epidemiology of antimicrobial resistance among gram-negative organisms recovered from patients in a multistate
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - Mupirocin resistance. Clin Infect Dis. 2009 Sep
15;49(6):935-41. PMID: 19673644.
100. … • Should we be concerned about producing antibiotic resistance? … As with all
antibiotics, we will need to be vigilant about antibiotic resistance. … o Evidence for emergence of antibiotic resistance during the use of mupirocin is
mixed. … resistance to mupirocin in the absence of
broad use of mupirocin, and no increase in resistance with
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - Unnecessary antibiotic use also contributes to broader public health risks such as widespread antibiotic resistance … The antibiogram lists the antibiotic resistance patterns for different species of bacteria from your … Fluoroquinolones should be avoided as an empiric choice due to resistance and side effects.
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ce.effectivehealthcare.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Antibiotic resistance occurs when bacteria adapt so that the drugs used to treat infections are less … Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.pdf
October 01, 2016 - The last problem is called antibiotic resistance. … This is called antibiotic resistance. … – When resistance develops, the doctor will need to prescribe a different antibiotic
to fight the infection … Decrease the likelihood that residents experience any harm, including C. diff
infections and antibiotic resistance