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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-guide.docx
September 01, 2022 - Mild signs and symptoms of otitis media are otalgia for less than 48 hours and a temperature of less … Severe signs and symptoms include ill appearance, moderate to severe otalgia, otalgia lasting at least … Ibuprofen or acetaminophen for ear pain and/or fever can help alleviate symptoms. … If symptoms appear, an emergency room referral is warranted for further assessment. … The patient handout explains the symptoms and symptomatic treatment of acute otitis media.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-one-pager.pdf
September 01, 2022 - Antibiotics should be considered for sinusitis if any of the following criteria are met:
‒ Persistent symptoms … : at least 10 days of symptoms without improvement
‒ Worsening symptoms: typical viral upper respiratory … tract infection symptoms that appear to
improve followed by the onset of worsening sinus symptoms … after 5–6 days
‒ Severe symptoms: at least 3-4 days of temperatures ≥ 102°F and purulent nasal discharge … Followup
• Patients should expect to have sinusitis symptoms improve over a week to 10 days.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
June 01, 2021 - Recognize the signs and symptoms of a suspected UTI that should be reported to and discussed by the health … These are signs and symptoms of a UTI.
Determine if she has an indwelling urinary catheter. … Ask her about signs and symptoms of infection.
Good choice. … Contact the practitioner
with vitals, symptoms, and your assessment.
Good choice. … Be sure to mention that you asked about signs and symptoms that could suggest a UTI.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-one-pager.pdf
September 01, 2022 - Moderate to severe bulging of the tympanic membrane or new-onset ear drainage (otorrhea) with signs and
symptoms … of middle-ear inflammation (e.g., ear pain, fever)
• Severe symptoms include ill appearance, moderate … Duration5,7,8
• <2 years old or severe symptoms at any age: 10 days
• 2–5 years: 7 days
• ≥6 years … Bilateral AOM
Without Otorrhea
and Without Severe
Symptoms
Unilateral AOM
Without Otorrhea … and Without Severe
Symptoms
<6 months Antibiotics Antibiotics Antibiotics Antibiotics
6 months
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - ASB and UTI
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
4
Symptoms of Urinary … pain
Pyelonephritis: infection of the kidney
Symptoms: fever and flank pain (in addition to the … symptoms of cystitis)
ASB and UTI
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care … are unlikely to be the result of a UTI in the absence of urinary symptoms. … Lack of association between bacteriuria and symptoms in the elderly.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in
Long-Term Care Residents
Signs & Symptoms … � Dysuria
OR
� Fever (>100°F or >2°F above
baseline)
AND at least one of the
following symptoms … UCx results, if resident appears ill
� If UA & UCx are positive and the resident has ongoing UTI symptoms … document care” or “test of cure”
� For mental status changes (without vital sign changes or urinary symptoms … No. 17(21)-0029
June 2021
Signs & Symptoms of a UTI
References
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/management-SSTI-8x10-pocket-cards.pdf
June 01, 2021 - Lotion
Management of Skin and
Soft Tissue Infections
• Wound care
• Elevate legs
Mild systemic symptoms … :
• Doxycycline (PO) or TMP-SMX (PO) for 5–7 days
Moderate/severe symptoms:
• Vancomycin (IV) … Incision and Drainage
Purulent
Send fluid for culture
• Bilateral
• Minimal or
chronic
symptoms … tachycardic,
hypotensive
• Rapidly spreading
Nonpurulent
• Acute onset
• Unilateral
• Systemic symptoms
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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 - What are the specific symptoms of a UTI? … These symptoms may or may not be accompanied by fever. … What about other symptoms, such as confusion or a sudden
change in behavior? … UTI is less likely without the specific symptoms listed above. … In the past, when a urine specimen tested positive — even when
no symptoms of infection were present
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-m.html
October 01, 2020 - Choice 1: Patient voids within 6 hours and no symptoms. … Repeat postvoid bladder scan within 2 hours if symptoms persist and contact physician, or;
Bladder … Repeat postvoid bladder scan once every 6 hours if symptoms persist and contact physician. … Repeat bladder scan within 2 hours if symptoms persist and contact physician, or;
Bladder scan. … Repeat bladder scan once every 6 hours if symptoms persist and contact physician.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - Tract Infections
Diagnosis
• First, ask about symptoms … , suprapubic pain
o Pyelonephritis: fever, flank pain
o Sending a urine culture in the absence of symptoms … pregnancy or in patients
who will undergo urologic procedures involving mucosal bleeding1
• Second, if symptoms … and adult women with acute cystitis can be treated without testing given the strong
correlation of symptoms … Treatment
• Do not start antibiotics for a positive UA or urine culture without asking about symptoms
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-one-pager.pdf
September 01, 2022 - therapy.2,3
• If there is not a high prevalence of influenza during flu season, test patients with flu symptoms … • Antivirals are most effective if initiated within 48 hours of symptoms. … • For patients improving from influenza who develop new fevers or symptoms of illness, consider an … Flu Symptoms & Diagnosis. Centers for
Disease Control and Prevention: Influenza
(Flu). … https://www.cdc.gov/flu/symptoms/index.html.
Accessed June 22, 2022.
3.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-m.docx
August 03, 2015 - Patient voids within 6 hours and no symptoms. … Observe
Patient voids within 6 hours but has symptoms of abdominal fullness or discomfort. … Repeat postvoid bladder scan within 2 hours if symptoms persist and contact physician. … Repeat postvoid bladder scan once every 6 hours if symptoms persist and contact physician. … Repeat bladder scan within 2 hours if symptoms persist and contact physician.
Bladder scan.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - Common symptoms of cystitis are dysuria, frequency,
urgency, and suprapubic pain. … Common symptoms of pyelonephritis are fever and
flank pain. … Common symptoms of catheter-associated urinary tract
infection, or CAUTI, are fever and suprapubic … In a study in which 72 elderly residents without
traditional UTI symptoms were questioned about
symptoms … Remember, urine cultures should be sent when a
patient has signs and symptoms of UTI.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-8x11-UTI.pdf
June 01, 2021 - � Dysuria
OR
� Fever (>100°F or >2°F above
baseline)
AND at least one of the following
symptoms … Send a Urinalysis and Urine Culture:
� If the urine is foul smelling or cloudy, without other urinary symptoms … document care” or “test of cure”
� For mental status changes (without vital sign changes or urinary symptoms … UCx results, if resident appears ill
� If UA & UCx are positive and the resident has ongoing UTI symptoms … ,
modify antibiotics or start antibiotics (if not receiving active antibiotics)
Signs & Symptoms
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - The potential for a CVD diagnostic error can begin as soon as women describe their symptoms, according … Some updated materials may include symptoms more commonly described by women, such as pain in the neck … But even an expanded list of symptoms can create a certain level of ambiguity, Dr. Miller notes. … For example, one professional group recently labeled symptoms more commonly affecting women as “atypical … “No, those symptoms are not atypical, they are just how women present symptoms.”
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-6-tables-13-14.pdf
April 17, 2019 - CHIPRA 194: Section 6, Tables 13-14
Table 13: Contingency Table for Presence of Signs or Symptoms of … Increased Intracranial Pressure in
Administrative Claims and Charts
Signs or Symptoms of Increased … Intracranial
Pressure Based on Chart Review
Present Absent Total
Signs or symptoms of increased
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs5.html
June 01, 2018 - Doctor Visits for Chronic Joint Symptoms
Adults with chronic joint symptoms who have ever seen a doctor … or other health professional for joint symptoms, by race, 2009-2013, and by insurance, Blacks, 2013 … Overall: In 2013, 72% of adults with chronic joint symptoms reported seeing a doctor or other health … professional for joint symptoms. … Blacks were more likely than Whites to report seeing a doctor or other health professional for joint symptoms
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx
September 01, 2022 - Slide 7
Moment 1: Diagnosis
SAY:
You should suspect influenza in patients with typical symptoms if … Slide 8
Moment 1: Diagnosis
SAY:
The most common symptoms of influenza are fever, headache, sore … with more severe symptoms like high fever, decreased appetite, and progressive cough. … RSV symptoms peak around day 5 of illness and start to improve by 7–10 days. … The Patient Handout explains the symptoms and symptomatic treatment of Influenza and RSV.
-
www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/antibiotic-tool.html
September 01, 2017 - Urine cultures should not be used to identify UTIs in the absence of symptoms. … appropriate to initiate empirical antibiotic therapy;
but for all other symptoms … Deeper infections such as bursitis may present with similar signs/symptoms. … Yes 19
No 24
What symptoms does the resident have? … Yes 22
No 24
What symptoms does the resident have?
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - of labor progression, worsening signs/symptoms of preeclampsia, magnesium toxicity, and fluid overload … Symptoms
Magnesium Level (mg/dl)
Normal adult values
1.7–2.4
Therapeutic range
5-9
Loss of … Provide instructions for reporting signs and symptoms to nursing staff. … Signs/symptoms of magnesium toxicity, worsening pre-signs or symptoms of eclampsia, or progression of … Explain expected therapeutic effects, and discuss likely side effects, and symptoms of toxicity that