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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
December 13, 2013 - – Upper airway resistance.
– Lung mechanics. … – Use the largest size possible to reduce airway resistance, keep work of breathing low,
reduce the … • Cannot be used with speaking valves, and creates extra resistance. … – Deep suctioning: Insert catheter until resistance met, apply suction on withdrawal
– This technique
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/decision-making.pdf
March 01, 2022 - • 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. … The literature has reported evidence of increased mupirocin resistance
with broad use of mupirocin, … increased resistance to mupirocin in the absence of
broad use of mupirocin, and no increase in resistance
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-one-pager.pdf
September 01, 2022 - allergy: doxycycline, trimethoprim/sulfamethoxazole, clindamycin (monitor for response
given increasing resistance … aureus, including MRSA1,2
Doxycycline
Trimethoprim/sulfamethoxizole
Clindamycin (increasing resistance … in S. aureus; check local resistance rates before using)
Linezolid (severe cases)
Duration
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
April 28, 2023 - • Resistance exercise – Exercise that focuses on improving muscular strength. … Inst
Biceps Curls With Resistance Bands
Area Targeted: Biceps
Biceps Curls With Resistance Bands … This one definitely works best with less resistance, since too much
resistance will pull you back towards … High reps and lower
resistance with bands works ridiculously well. … Reverse Biceps Curls With Resistance Bands
Area Targeted: Biceps
Reverse Biceps Curl With Resistance
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www.ahrq.gov/news/funding-applications-hais-carb-projects.html
January 01, 2022 - Applications Due Feb. 5: Research Projects on Healthcare-Associated Infections and Antibiotic Resistance
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
October 01, 2016 - For more information about antibiotic resistance, visit:
CDC: Antibiotic/Antimicrobial Resistance http … ://www.cdc.gov/drugresistance/about.html
FDA: Antibiotics and Antibiotic Resistance http://www.fda.gov
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www.ahrq.gov/sites/default/files/publications/files/cdifftools.docx
September 01, 2012 - Antimicrobial Resistance: Scope of the Problem and Key Contributors
Strongly Disagree
Disagree
Neither … 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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|_ … · Increased antimicrobial resistance.
· See table on back for specific duration recommendations. … STEP 5: Epidemiologic Surveillance
· With time and selective pressure, resistance patterns will change
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - For more information about antibiotic
resistance, visit:
CDC: Antibiotic/Antimicrobial Resistance … http://www.cdc.gov/drugresistance/about.html
FDA: Antibiotics and Antibiotic Resistance http://www.fda.gov
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - ‒ Penicillin resistance has not been documented in group A strep. … ‒ GAS resistance to both of these agents has been observed.
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Accept and plan for resistance. Resisters help to clarify the problem. … Exploring the reasons for resistance might surface a belief that current debriefs are relatively long … 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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - It is
important to know local resistance patterns for both of
these agents before using them, given … increasing
resistance particularly with trim/sulfa. … However, local E. coli resistance data must be
considered as these agents cannot be recommended
for … empiric therapy if resistance is seen in a large
proportion of isolates—some have proposed a cutoff … If trim/sulfa or
fluoroquinolones cannot be used because of resistance,
then consider converting to
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www.ahrq.gov/hai/patient-safety-resources/cre-toolkit/cretoolkit3.html
April 01, 2014 - Genes encoding for KPC enzymes are located on plasmids, and other resistance-factor genes are often linked … Klebsiella pneumoniae isolates positive for carbapenemases typically exhibit resistance to almost all … harboring KPC remains challenging because automated susceptibility testing systems fail to detect low-level resistance
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/success-stories/share_approach_success_story2_jmu.pdf
June 01, 2016 - “Antibiotic Resistance Questions and Answers.” http://www.cdc.gov/getsmart/community/about/
antibiotic-resistance-faqs.html … getsmart/week/downloads/gsw-factsheet-providers.pdf
http://www.cdc.gov/getsmart/community/about/antibiotic-resistance-faqs.html … http://www.cdc.gov/getsmart/community/about/antibiotic-resistance-faqs.html
3
AHRQ’s SHARE Approach
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
December 01, 2017 - are the most number of catheters
Slide 25
Start with a Plan
Anticipate barriers – nurse resistance … , physician resistance, patient/family requests for a catheter
Track performance (both processes and … where to begin, usually where there are the most number of catheters
Anticipate barriers – nurse resistance … , physician resistance, patient/family requests for a catheter
Track performance (both processes and … Substantial physician resistance?
Patient and family requests for a Foley?
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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 - Reason 2 1
It Leads to Bacterial Resistance! … Antibiotic resistance is a growing problem
Often forced to use older antibiotics to deal with resistant … Slide 8: Engaging Physicians and Other Providers 2
Remind others that antibiotic resistance is
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.ppt
May 01, 2014 - Antibiotic use can lead to side effects, multidrug resistance, and health care-associated infections … Hospitals have used antibiograms to:
Identify important local resistance patterns. … Antibiotics from the same class are likely to have similar resistance patterns; for example, with cephalosporins … The reason is that antibiotics from the same class are likely to have similar resistance patterns. … Significant resistance to commonly used antibiotics is seen among the gram-negative organisms that frequently
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www.ahrq.gov/hai/patient-safety-resources/cre-toolkit/cretoolkit-intro.html
April 01, 2014 - CRE are the result of a complex family of plasmid-borne resistance factors that circulate among Enterobacteriaceae
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Clinical Infectious Diseases 2008; 15:735-43
Antibiotic exposure increases the risks of resistance … Cipro Standard
Antibiotic duration 3 days 10 days
LOS ICU 9 days 15 days
Antibiotic resistance … antimicrobial stewardship programs
Optimize Patient Safety
Decrease or Control Costs
Reduce Resistance … for outcomes
Single pharmacy leader
Antibiotic use tracking
Regular reporting on antibiotic use and resistance … Educating providers on use and resistance
Specific improvement interventions
Interventions to Improve
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - Slide 9
Antibiotic Exposure Increases the Risks of Resistance
Pathogen and Antibiotic Exposure … Slide 16
Stewardship Optimizes Patient Safety: Decreased Patient-level Resistance
Image on left … Antibiotic duration
3 days
10 days
LOS ICU
9 days
15 days
Antibiotic resistance … duration
Slide 19
Goals of Antimicrobial Stewardship
Optimize Patient Safety
Reduce Resistance … outcomes
Single pharmacy leader
Antibiotic use tracking
Regular reporting on antibiotic use and resistance
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - Most importantly, susceptibility testing showed no evidence of chlorhexidine resistance, and the CHG … Importantly, analysis showed no emergence of chlorhexidine or mupirocin resistance in the thousands of … Short-term use of intranasal mupirocin, as used in these studies, was not associated with resistance. … Generally, antiseptics are less prone to resistance than antibiotics such as mupirocin. … To date, there is no evidence of emergent resistance to iodophor with Staphylococcus aureus.