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Continuous Antibiotic Prophylaxis o Longer term antibiotic prophylaxis is strongly associated with the development of antimicrobial resistance. o A 6 month trial of low-dose continuous antibiotic treatment may be beneficial if rUTIs are occurring 1 per month and are not trigger by sexual intercourse. o Patients should be counselled at an .

and the Core Elements of Antibiotic Stewardship for Nursing Homes (23). This 2016 report, Core Elements of Outpatient Antibiotic Stewardship, provides guidance for antibiotic stewardship in outpatient settings and is applicable to any entity interested in improving outpatient antibiotic prescribing and use.

R M AB ARP R R M APP B 3 Completeness of antibiotic prescribing documentation. Ongoing audits of antibiotic prescriptions for completeness of documentation, regardless of whether the antibiotic was initiated in the nursing home or at a transferring facility, should verify that the antibiotic prescribing

Surgical Antibiotic Prophylaxis - Adult Page 1 of 6 Disclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson’s specific patient population, services and structure, and clinical information. This is not intended to replace the independent medical or professional judgment of physicians or other health .

be living with rheumatic heart disease, and ap-proximately 306,000 deaths from rheumatic heart disease occur annually.2 Secondary antibiotic prophylaxis is the corner - stone of management of rheumatic fever and rheumatic heart disease.3 Intramuscular penicil-lin G benzathine (also known as benzathine benzylpenicillin) has been found to be more ef-

prolonged antibiotic prophylaxis. Ig is reserved for those patients in whom antibiotic prophylaxis proves to be ineffective. Initiate trial at 0.4– 0.6 g/kg/month for a period of 6 to 12 months; Long-term maintenance treatment should be based on clear evidence of benefit from this trial and require panel approval. Dose requirements may .

The four core elements of outpatient antibiotic stewardship are commitment, action for policy and practice, tracking and reporting, and education and expertise. Outpatient clinicians and facility leaders can commit to improving antibiotic prescribing and take action by implementing at least one policy or practice aimed at improving antibiotic

of all known ARGs in the full-microbial pan-genome is defined as the antibiotic resistome (132). What is most important conceptually about the antibiotic resistome is the potential accessibility of individual ARGs to all bacteria. In this review, we focus on our current knowledge of the evolution of antibiotic resistance in plant-pathogenic .

Neutropenic sepsis in patients with penicillin allergy Haematology/Oncology – prophylaxis for specific chemotherapy regimens Orthopaedic Prophylaxis – Revision surgery first dose Prosthetic Joint Infection Shunt associated or post op meningitis/ventriculitis Meningococcal contact prophylaxis – single dose Maternal sepsis

Upon completion of this module you will be able to: Explain why susceptibility testing is done Define the terms, bacteriostatic and bactericidal Describe the functional antibiotic classification scheme and list the 5 main groups Name at least one antibiotic in each class Describe the structure of a Gram-positive and negative .

4. Antibiotics with good anaerobic coverage p.7 5. The PK/PD concept p.8 6. Renal/Hepatic adjustments of antibiotics p.10 7. Therapeutic Drug Monitoring of antibiotics in SGH p.16 8. IV-to-Oral Switch Protocol p.17 9. Surgical Antibiotic Prophylaxis p.19 10. Bits and Pieces from Microbiology Laboratory p.20 11. Do’s and Don’ts In Antibiotic .

receive antibiotic preventive therapy, if the exposure was in the previous six days (23). The preferred antimicrobials for preventive or abortive therapy are the tetracyclines, chloramphenicol, or one of the effective sulfonamides (Table 3). True prophylaxis, i.e. the administration of an antibiotic prior to