Collection:  Antibiotic Stewardship Guidelines and Algorithms Compendium

Compiled by IPRO HQIC

Urinary Tract Infection – Guidelines

Guidelines for Treatment of Urinary Tract Infections Michigan Hospital Medicine Safety (HMS) Consortium

Urinary Tract Infection and Asymptomatic Bacteriuria Guidance Nebraska Medicine

URINARY TRACT INFECTIONS IN ADULTS Michigan Medicine, University of Michigan

Clinical Practice Guidelines for the Antibiotic Treatment of Community-Acquired Urinary Tract Infections NIH

UTI References

International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update. Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases 

Topic: Urinary Tract Infection (UTI) AHRQ

UTI Toolkit

Toolkit for Reducing CAUTI in Hospitals AHRQ

Appendix K. Infographic Poster on CAUTI Prevention (ahrq.gov)

UTI Clinical Pearls

Single-Dose Aminoglycoside for Cystitis: An Oldie but Goodie – KY Antimicrobial Stewardship Innovation Consortium

Staphylococcus aureus in a urine culture – KY Antimicrobial Stewardship Innovation Consortium

Aminopenicillins for Enterococcal Cystitis: Teaching an Old Dog New Tricks – KY Antimicrobial Stewardship Innovation Consortium

Skin and Soft Tissue Infection

Cellulitis: A Review (JAMA)

Cellulitis: A Review (NIH)

Cellulitis: Information for Clinicians (CDC)

IDSA Skin & Soft Tissue guidelines 2014

Skin and Soft Tissue Infections: Treatment Guidance Jasmine R Marcelin MD, Trevor Van Schooneveld MD, Scott Bergman PharmD Reviewed by: Mark E Rupp MD, M. Salman Ashraf MBBS

AAFP patient education materials

UCSF Medical Center Guideline for the Management of Suspected Skin and Soft Tissue Infections in Adults Original Author(s): Jennifer S. Mulliken, MD and Sarah M. Doernberg, MD, MAS

SHC Clinical Guideline: Outpatient Management of Skin and Soft Tissue Infections

Prophylaxis/SSI

Strategies to prevent surgical site infections in acute-care hospitals: 2022 Update with essential practices. 

Additional guidelines (all adapted from consensus guidelines):

ASHP Clinical Practice Guidelines for Prophylaxis in Surgery.

Stanford Health Care- Surgical Prophylaxis Guidelines

University of Michigan- Surgical Prophylaxis Guidelines

University of California San Francisco- Surgical Prophylaxis Guidelines

ICHE Compendium 2022- Updated Surgical Site Infection Prevention Compendium

IV to PO Conversion

Article – Intravenous-to-Oral Switch Therapy: Overview, Antibiotics, Antidepressants (medscape.com)

Article – (2023) – Switching patients from IV to oral antimicrobials – The Pharmaceutical Journal (pharmaceutical-journal.com) (from the UK)

Guidelines

Galway Antimicrobial Prescribing Policy / Guidelines (GAPP) – Galway: GAPP (megsupporttools.com)

 (2018) Intravenous to Oral Conversion for Antimicrobials (northernhealth.ca)

SHC-IV-to-PO-Interchange-Protocol.pdf (stanford.edu)

A Resource To Help With Changing From IV To PO Antibiotics (idstewardship.com)

Public Health Ontario: https://www.publichealthontario.ca/-/media/documents/A/2016/asp-iv-oral-conversion.pdf

Community Acquired Pneumonia- Updated Recommendations ATS and IDSA 2020

ATS/IDSA Guidelines for Diagnosis and Treatment of Adults with Community Acquired Pneumonia 2019

C Difficile

Clinical-Pearl-CDI-Risk-2.8.23.pdf (kymdro.org)

CDI Prevention Strategies- https://www.cdc.gov/cdiff/clinicians/cdi-prevention-strategies.html

MN Department of Health C difficile guidelines  https://www.health.state.mn.us/diseases/cdiff/hcp/guidelines.html

UC Davis Guidelines 2021  https://health.ucdavis.edu/antibiotic-stewardship/pdfs/cdi_tx_ucd.pdf

University of Nebraska  2021 https://www.unmc.edu/intmed/_documents/id/asp/clinicpath-cdi_final.pdf

UNC Medical Center 2022  https://www.med.unc.edu/pediatrics/cccp/wp-content/uploads/sites/1156/gravity_forms/1-c06e424ddddee8826f29e1bc5926a251/2022/11/CASP-UNCMC-CDI-Guideline_FINAL.pdf

AHRQ  Best Practices in the Diagnosis and Treatment of C difficile 2019  

Management of C difficile in adults: review and comparison of IDSA/SHEA, ESCMID and ASID guidelines

IDSA C difficile clinical practice guidelines in adults: 2021 Update by SHEA/IDSA

Solar Eclipse Patient Safety Tips

On Monday, April 8, 2024, a total solar eclipse will cross North America. A total solar eclipse happens when the Moon passes between the Sun and Earth, causing the sky to darken as if it were dawn or dusk. Visit the NASA website on the flyer to see if your area is in the path of the eclipse. Follow these safety tips when viewing the eclipse to stay safe. Be sure to share these tips with your family and friends.

The Interdisciplinary Care Team’s Role in Pressure Injury Prevention

Prepared by IPRO NQIIC

This resource guide provides education, evidence-based practices, and guidance on how to engage the interdisciplinary team to collaborate and improve the assessment, management, and prevention of pressure injuries. It is intended for use by healthcare providers who work with patients/residents who either have pressure injuries or are at risk of developing them. It will guide healthcare teams to implement effective pressure injury prevention practices through an interdisciplinary approach (AHRQ, 2023).

Pain Management Essential Communication Elements for Transitions of Care Guide

Prepared by IPRO QIN-QIO

This resource is designed for use in any facility by staff or a healthcare provider. Improvement of cross-setting management of pain management during transitions of care to prevent adverse drug events and subsequently reduce emergency department visits, hospitalizations, and readmissions.

Readmissions Miniseries Webinars 2024

IPRO HQIC

It is well known that effective care transitions help reduce readmissions and are essential to patient safety. Yet, many organizations struggle with structures and processes that depend on collaboration across the continuum of care. The purpose of these mini-series sessions is to share evidence-based interventions and best practices to reduce readmissions. Speakers will provide guidance and education on specific readmissions reduction strategies. Participants will learn how to reduce readmissions and sustain their practices. They will also be challenged to reconsider aggregated readmissions rates as a measure of program effectiveness.

Solar Eclipse Provider-Facing Safety Tips

On Monday, April 8, 2024, a total solar eclipse will cross North America. The eclipse will travel across portions of Mexico, the central and eastern United States, and southeastern Canada. According to NASA, a solar eclipse occurs when the Moon passes between the Earth and the Sun at just the right time, with the Moon creating a shadow on a portion of the Earth’s surface. If you have plans to view the solar eclipse or if you live in an area that will experience a total solar eclipse, it’s important that you plan ahead and review these safety tips. This document is intended to assist hospitals, nursing homes, home health agencies, dialysis centers, and all other health care providers plan for the upcoming total solar eclipse. In preparation, please take the time to review this document and share this information with your patients/ residents, facilities, and staff.

Managing Opioids Safely After Discharge: A Communication Tool for Patients and Care Partners

Prepared by IPRO HQIC

The goal of this tool is to help you communicate with your healthcare team about the opioids you will be taking after you are discharged from the hospital. You and your doctor have decided that you should continue taking opioids after you leave the hospital as part of your pain management plan. A pain management plan lists the ways in which you can control your pain. The plan may include prescribed opioids and over-the-counter medicines and when you should take them, as well as other things you can do (e.g., ice, massage). You and your clinician may need to adjust your plan as you recover.

Advancing the Culture of Patient Safety: Strategies to Prevent CLABSI and CAUTI

Prepared by IPRO HQIC

Hospital-acquired infections (HAIs) are among the most common complications in hospitals and continue to be a significant concern in the healthcare system. The Agency for Healthcare Research and Quality estimates that approximately 633,300 patients contract one of these infections annually, costing billions for healthcare organizations. These infections can lead to significant morbidity and mortality, with tens of thousands of lives lost each year.

To improve the overall quality of care, it is important that healthcare professionals direct their focus toward identifying and creating opportunities for improving performance and outcomes. In this Lunch & Learn we will cover:

  • The prevalence of Central line associated blood stream infection (CLABSI) and Catheter associated urinary tract infection (CAUTI).
  • The causative factors and evidence-based strategies for CLABSI and CAUTI prevention.
  • How the Appalachian Regional Healthcare System successfully implemented evidence-based strategies that resulted in a significant decrease in CLABSI and CAUTI rates.

Your Worst Day: Emergency Preparedness and Response Educational Series

Prepared by IPRO HQIC

This Emergency Preparedness and Response Webinar series features real life experiences told through the lens of those who have experienced emergencies and will help you prepare and train for emergencies and anticipate potential hazards when an emergency occurs.

For healthcare workers, it is not of question of if, but when an emergency will strike. Emergencies can take many forms and are among the most disruptive experiences that healthcare workers might encounter. Being prepared can save lives, prevent financial/property loss, and ensure the safety and well-being of entire communities. Having a plan helps staff, patients, families, and residents know what to do, where to go, and how to keep themselves safe during an emergency, and ensures access to essential information and equipment.

Session 1: When Things Get Real! (4/20/2023)

Session 2: You Don’t Know What You Don’t Know (4/27/2023)

Session 3: The Impact of Trauma (5/4/2023)

Session 4: The Media at Your Door (5/11/2023)

SERIES: IPRO HQIC Health-Related Social Needs

Prepared by IPRO HQIC

Addressing health-related social needs (or social drivers of health) can improve health outcomes. Health-related social needs include food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety.

Join IPRO QIN-QIO for the Health-Related Social Needs Series to learn, collaborate, share best practices and lessons learned on how best to screen for, capture information about, and address social needs.

  • Engage in interactive sessions where participants learn about health-related social needs and specific issues when screening, collecting, and addressing this information.
  • Participate in a collaborative forum to share best practices, challenges, and lessons learned, including ways to streamline reporting to CMS.
  • Share tools, resources, and other material with your peers.

This series is comprised of six sessions from 12 to 12:45 pm ET on:

  • September 13
  • October 11
  • November 8
  • December 13
  • January 10
  • February 14