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www.ahrq.gov/hai/carb/index.html
May 01, 2022 - The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described … National Action Plan in three ways:
Funding research on infection prevention, combating antibiotic resistance … organisms, and preventing infections in the first place, a foundational step toward combating antibiotic resistance
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www.ahrq.gov/topics/antimicrobial-stewardship.html
promote the appropriate use of antimicrobials, thereby improving patient outcomes, reducing antibiotic resistance … Mandate
Telemedicine-Based Antimicrobial Stewardship Program Improves Prescribing, Reduces Bacterial Resistance
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www.ahrq.gov/topics/antibiotics.html
January 01, 2009 - Antibiotic resistance is becoming a national threat.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Antibiotic Resistance Threats in the United States, 2013 . … Antibiotic Resistance Threats in the United States, 2013 . … Image: How Antibiotic Resistance Happens - 1. Lots of germs. … Driver of antibiotic resistance. … Antibiotic Resistance Threats in the United States, 2013 .
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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 - Antibiotic Resistance Threats in the United States, 2013. … Antibiotic resistance is a growing problem. … Antibiotic Resistance Threats in the United States, 2013. … Here’s how antibiotic resistance develops. … How can we fight back against antibiotic resistance?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.doc
January 01, 2011 - Tracking Sheet to see if prescribing is consistent with national guidelines and with the nursing home’s resistance … The review will classify each antibiotic as:
· Significant resistance (<80 percent sensitive) or no … significant resistance on the nursing home antibiogram,
· Narrow or broad spectrum, or
· Appropriate … List of Antibiotics for Urinary Tract Infections: Appropriateness
Resistance Pattern
· Significant … resistance: The nursing home’s antibiogram shows <80 percent sensitivity for the antibiotic prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - cause infections with high mortality rates and few therapeutic options due to their ability to confer
resistance … to many different antibiotics.1 Different mechanisms cause the carbapenem resistance, with
carbapenemase-producing … isolated from invasive Klebsiella pneumoniae
infections in Europe showed an increase in carbapenem resistance … from 4.6 percent in 2010 to 8.3
percent in 2013.5
Carbapenem resistance can be transferred between … patients and between different species of bacteria
via plasmids, allowing the rapid spread of the resistance
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.pdf
May 01, 2014 - Tracking Sheet to see if prescribing is consistent with national guidelines and with the nursing
home’s resistance … The review will classify each antibiotic as:
• Significant resistance (<80 percent sensitive) or no … significant resistance on the nursing home antibiogram,
• Narrow or broad spectrum, or
• Appropriate … Pattern
• Significant resistance: The nursing home’s antibiogram shows <80 percent sensitivity for … • No significant resistance: The nursing home’s antibiogram shows ≥80 percent sensitivity for the antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - cause infections with high mortality rates and few therapeutic options due to their ability to confer
resistance … to many different antibiotics.1 Different mechanisms cause the carbapenem resistance, with
carbapenemase-producing … isolated from invasive Klebsiella pneumoniae
infections in Europe showed an increase in carbapenem resistance … from 4.6 percent in 2010 to 8.3
percent in 2013.5
Carbapenem resistance can be transferred between … patients and between different species of bacteria
via plasmids, allowing the rapid spread of the resistance
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www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools4b.html
September 01, 2012 - Bacterial resistance to sulfamethoxazole/trimethoprim (SMZ/TMP) and fluoroquinolones has increased. … Do not use SMZ/TMP as empiric therapy or ciprofloxacin as initial therapy due to high resistance to … Reserve fluoroquinolones for pyelonephritis and major systemic infections due to resistance development … Increased antimicrobial resistance.
Refer to table for specific duration recommendations. … Step 5: Epidemiologic Surveillance
With time and selective pressure, resistance patterns will change
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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)
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www.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-18.html
November 01, 2014 - Resources
A hiring freeze during Lean implementation can contribute to staff and manager resistance … Engagement
Middle management and frontline resistance remains, particularly among nursing staff
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www.ahrq.gov/hai/tools/mrsa-prevention/index.html
November 01, 2024 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019 . Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022 . Atlanta, GA: U.S.
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www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
July 01, 2018 - Anticipating and Addressing Staff Resistance and Culture Change Through Education
More often than not … , some level of staff resistance will be encountered, typically because of increased workloads or disruption … Another important factor in addressing staff resistance is leadership that is completely transparent … Overcoming Staff Resistance and Culture Change at Hahnemann University Hospital
As part of its participation … Post-implementation adjustments
Signals responsiveness to staff concern
Staff resistance
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.docx
October 01, 2016 - They are also an important component of monitoring trends in antimicrobial resistance within a nursing … improve outcomes among residents with infections.
· Antibiograms are a good way to detect changes in resistance … They do not provide the prevalence resistance to multiple antibiotics.
· Antibiograms provide guidance … message is that [name of antibiotic] is not working for urinary tract infections because of significant resistance
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.pdf
October 01, 2016 - They are also an important component of monitoring trends in antimicrobial
resistance within a nursing … • Antibiograms are a good way to detect changes in resistance patterns. … They do not provide the prevalence resistance to
multiple antibiotics. … message is that [name of antibiotic] is not working
for urinary tract infections because of significant resistance
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www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
November 01, 2024 - With AHRQ’s help, my goal is to improve antibiotic use and minimize antimicrobial resistance.” … antibiotics inappropriately—for instance, not finishing all doses prescribed—leads to increased antibiotic resistance … Many had been unaware of any negative effects, such as antibiotic resistance and adverse drug reactions … urine cultures, this will help reduce unnecessary antibiotic use, slow the emergence of antimicrobial resistance
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team-updated.pdf
October 01, 2016 - CDC’s About Antimicrobial Resistance
c. … CDC’s Antibiotic Resistance Threats in the United States
A bibliography of journal articles is also … CDC
https://www.cdc.gov/antimicrobial-resistance/data-research/threats/index.html
Nursing Home Antimicrobial … Antibiotic resistance in non-major metropolitan skilled
nursing facilities: prevalence and interfacility … An antibiotic prescription induces resistance at the individual
level more than the group level.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team_final.docx
October 01, 2016 - following:
CDC’s Core Elements of Antibiotic Stewardship in Nursing Homes
CDC’s About Antimicrobial Resistance … : A Brief Overview
CDC’s Antibiotic/Antimicrobial Resistance: References and Resources
CDC’s Antibiotic … Resistance Threats in the United States (2013)
Nursing Home
Antimicrobial Stewardship Guide
Implement … Antibiotic resistance in non-major metropolitan skilled nursing facilities: prevalence and interfacility … An antibiotic prescription induces resistance at the individual level more than the group level.