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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - 4 Core Actions to Fight Deadly Infections
(CDC; Antibiotic Resistance Threats, 2013)
8
Preventing … infections and preventing the spread of resistance
Tracking resistant bacteria
Improving the use of … LTACHs
Microbiology evaluated included resistance
ICUs: most common 2 organisms E. coli and Candida sp … LTACHs: more MDROs associated CAUTIs
13
LTACHs vs ICUs: Multidrug Resistance and CAUTI
(Chitnis, … Infect Control Hosp Epidemiol 2012; 33(10):993-1000)
14
LTACHs vs ICUs: Multidrug Resistance and
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 18, 2015 - The Antibiotic Resistance Crisis
The overuse of antibiotics has contributed to increasing antibiotic … resistance
– which is the ability of bacteria to resist the effects of an antibiotic. … When resistance occurs, it can be harder to find the right drug to treat an
infection. … Fighting resistance requires stronger drugs and more healthcare,
and recovery may take more time. … “Antibiotic resistance is rising for many different
pathogens that are threats to health.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.pdf
May 01, 2014 - They are also an important component
of monitoring trends in antimicrobial resistance within facility … Antibiograms are a good way to detect changes in resistance patterns. … They do not provide the prevalence resistance to
multiple antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.doc
May 01, 2014 - They are also an important component of monitoring trends in antimicrobial resistance within facility … · Antibiograms are a good way to detect changes in resistance patterns. … They do not provide the prevalence resistance to multiple antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - Slide 2
Problems With Taking Antibiotics
SAY:
Slide 3
Antibiotic Resistance
SAY:
The sad fact … is that multi-drug resistance is increasingly common in everyday practice. … Furthermore, because of concerns about antibiotic resistance, use of new agents is discouraged by the … Yet if antibiotic resistance does develop, it will limit the effective lifespan of the drug. … The other key approach is to slow the development of resistance by limiting overuse of antibiotics.
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www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools1i.html
September 01, 2012 - Tools and Resources
Purpose: To assess prescribers' perceptions about antimicrobial resistance … Antimicrobial Resistance: Scope of the Problem and Key Contributors
Statement
Strongly
Disagree … Antibiotic resistance is a problem in this institution.
___
___
___
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2. … Antimicrobial stewardship programs reduce the problem of antimicrobial resistance.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
October 01, 2024 - This suggested no clinically significant resistance to mupirocin had emerged across this period. … As with all antimicrobials, we must be vigilant about antimicrobial resistance. … Some studies have reported increased mupirocin resistance with broad mupirocin use,29,30 some reported … increased resistance in the absence of broad mupirocin use,31 and some reported no increase in resistance … Since mupirocin resistance is not routinely tested, most hospitals will not have access to local resistance
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - Slide 7
Polling Question 2: Multidrug Resistant Organisms (choose one)
Antibiotic resistance … is associated with $20 billion direct healthcare cost per year
Antibiotic resistance is associated … Slide 8
4 Core Actions to Fight Deadly Infections
(CDC; Antibiotic Resistance Threats, 2013 … LTACHs: more MDROs associated CAUTIs
Slide 14
LTACHs vs ICUs: Multidrug Resistance and CAUTI … Slide 15
LTACHs vs ICUs: Multidrug Resistance and CAUTI
(Chitnis, Infect Control Hosp Epidemiol
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - *
Quality Improvement for Antibiotic Prescribing
Problems with taking antibiotics
Drug resistance … Multi-drug resistance is increasingly common
Streptococcus pneumoniae
Staphylococcus aureus
Enterococcus … Furthermore, because of concerns about antibiotic resistance, use of new agents is discouraged by the … Yet if antibiotic resistance does develop, it will limit the effective lifespan of the drug. … The other key approach is to slow the development of resistance by limiting overuse of antibiotics.
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www.ahrq.gov/news/funding-projects.html
August 01, 2024 - Apply Now for Funding on Projects To Reduce Healthcare-Associated Infections and Antibiotic Resistance
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team_final.pdf
October 01, 2016 - CDC’s About Antimicrobial Resistance: A Brief Overview
c. … CDC’s Antibiotic/Antimicrobial Resistance: References and Resources
d. … CDC’s Antibiotic Resistance Threats in the United States (2013)
A bibliography of journal articles … 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/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.pdf
October 01, 2016 - review the antibiogram and create a statement regarding which antibiotics are showing high rates
of resistance … For example, if Gram-negative organisms isolated
in the nursing home are showing high rates of resistance … CAUTION: Antibiotic Resistance Trends for [NAME OF NURSING HOME]
Date: [DATE]
To: All Physicians … Our antibiogram report indicates high rates
of resistance among diagnostic isolates from our residents … to the following antimicrobial agents:
Organism Antibiotic Name Rate of Resistance to
Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.docx
October 01, 2016 - review the antibiogram and create a statement regarding which antibiotics are showing high rates of resistance … For example, if Gram-negative organisms isolated in the nursing home are showing high rates of resistance … CAUTION: Antibiotic Resistance Trends for [NAME OF NURSING HOME]
Date: [DATE]
To: All Physicians and … Our antibiogram report indicates high rates of resistance among diagnostic isolates from our residents … to the following antimicrobial agents:
Organism
Antibiotic Name
Rate of Resistance to Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
October 01, 2016 - following:
CDC’s Core Elements of Antibiotic Stewardship in Nursing Homes
CDC’s About Antimicrobial Resistance … CDC’s Antibiotic Resistance Threats in the United States
A bibliography of journal articles is also … 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/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide71.html
October 01, 2014 - Motivational Interviewing (Continued)
Roll with Resistance
Back off and use reflection … when the patient expresses resistance: "Sounds like you are feeling pressured about your smoking."
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T3-Antibiogram_Specifications_Phase_2.pdf
May 01, 2014 - For an antibiogram to represent effectively a community’s antimicrobial resistance patterns, it is important … Small
sample sizes allow the individual resistance pattern of individuals to overly influence the estimate … of resistance
for an entire facility and thus miss important antibiotic-resistance patterns entirely … Keeping all antimicrobial
resistance patterns as percent S will limit confusion of interpreting staff
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T3-Antibiogram_specifications_Phase_2.doc
May 14, 2014 - For an antibiogram to represent effectively a community's antimicrobial resistance patterns, it is important … Small sample sizes allow the individual resistance pattern of individuals to overly influence the estimate … of resistance for an entire facility and thus miss important antibiotic-resistance patterns entirely … Keeping all antimicrobial resistance patterns as percent S will limit confusion of interpreting staff
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool14.html
March 01, 2014 - approach as the best non-confrontational, patient-directed way to begin the conversation and short-circuit resistance … One of the key principles of Motivational Interviewing is Roll with Resistance , as resistance is an … As a clinician, your ability to "roll" with resistance will allow your patient a greater chance to become
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T4-Be_Smart_About_Antibiotics_Final.pdf
May 01, 2014 - This is called resistance and makes some infections very hard
to control. … Resistance can make you sick longer, requiring more doctor visits
and drugs that are even stronger. … In
addition to resistance, antibiotics can cause nausea, dizziness, diarrhea, rash,
kidney damage,
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www.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - evidence-based steps long-term care facilities can take to improve antibiotic use and reduce the risk of resistance … promoting the appropriate use of antibiotic medications to improve patient outcomes, reduce antibiotic resistance … medications is a significant public health challenge because overuse can enable organisms to develop a resistance