1 / 8

Toolkit 3. How To Develop and Implement an Antibiogram Program Phase 3. Implementation

Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose the Right Antibiotic. Toolkit 3. How To Develop and Implement an Antibiogram Program Phase 3. Implementation. Training Slides for Nursing Home Nurses. www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. 14-0023-6-EF.

pbouchard
Download Presentation

Toolkit 3. How To Develop and Implement an Antibiogram Program Phase 3. Implementation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose the Right Antibiotic Toolkit 3. How To Develop and Implement an Antibiogram ProgramPhase 3. Implementation Training Slides for Nursing Home Nurses www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. 14-0023-6-EF

  2. Background: Prescribing Antibiotics • Antibiotics are prescribed frequently in nursing homes. • Among antibiotic prescriptions, broad-spectrum antibiotics are often prescribed. • Initial decisions on prescribing antibiotics often are made before culture and sensitivity results are available. • Clinicians’ judgment is based on: • Patient factors (e.g., age, symptoms, allergies) • Facility factors (type of nursing home, historical experience) • Preference/knowledge

  3. Background: Antibiograms • An antibiogram is a tool to provide clinicians withfacility-specific historical information on sensitivity data to assist in initial prescribing. • Antibiograms aggregate information for an entireinstitution over a period of several months or a year. • Antibiograms display the organisms present in clinical specimens sent for laboratory testing as well as the susceptibility of each organism to an array of antibiotics.

  4. Background: Antibiograms • Antibiograms are prepared and used routinely in hospitals. • Antibiograms recently have been introduced in nursing homes. • Hospitals have used antibiograms to: • Identify important local resistance patterns. • Increase recommended antibiotic prescribing for acute infections.

  5. Antibiograms

  6. Key Findings From Antibiogram • Insert data description from facility’s antibiogram • Sample format • Most of the data come from xxxxcultures. • Of # cultures used to make the antibiograms, • x% were urine cultures. • x% were wound cultures. • x% were sputum cultures. • The antibiograms will be most applicable when selecting antibiotics to treat XXX infections. • The leading organisms responsible for positive XXX cultures were:

  7. Limitations • Source of infection • “Hospital-acquired”: Microbiology is less applicable. • “Facility-acquired”: Acquired while at this nursing home; therefore, antibiogram is more applicable.

  8. Questions?

More Related