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41. Antibiotic prophylaxis for endoscopic urologic procedures

supporting the use of prophylactic antimicrobials in common urologic procedures. All summaries specifi - cally relate with patients with sterile preop- erative urine cultures. If bacteria are found in the cultures, we strongly recommend pre- operative eradication of the infection with a full course of antibiotics according to culture sensitivities. The evidence suggests that antibiotics are useful for the prevention of fever and UTIs for most urologic surgeries and procedures. Table 3. Study (...) of antibiotics were studied, although no class demonstrated superiority. The overall quality of lit- erature supporting antibiotic use in general was moderate. In this guideline, it would be remiss not to mention the stark lack of reporting of adverse outcomes, including drug toxicity, such as the development of Clostridium difficile colitis, and the development of antimicrobial drug resis- tance. Additionally, the American Heart Association no longer recommends urologic prophylaxis to prevent endo- carditis

2015 Canadian Urological Association

42. Implementing an Antibiotic Stewardship Program

Implementing an Antibiotic Stewardship Program Practice Guidelines Search Search Practice Guidelines Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Attributes of good guidelines include validity, reliability, reproducibility, clinical applicability, clinical flexibility, clarity, multidisciplinary process, review of evidence, and documentation. [Institute

2016 Infectious Diseases Society of America

43. Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention (Full text)

Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account (...) INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed to acponline.org to complete your purchase. Search Clinical Guidelines | 15 March 2016 Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Free Aaron M. Harris, MD, MPH; Lauri A. Hicks, DO; Amir Qaseem, MD, PhD, MHA; for the High Value Care Task Force of the American College

2016 American College of Physicians PubMed abstract

44. Intra-Operative Surgical Irrigation of the Surgical Incision: What Does the Future Hold?Saline, Antibiotic Agents, or Antiseptic Agents? (Full text)

Intra-Operative Surgical Irrigation of the Surgical Incision: What Does the Future Hold?Saline, Antibiotic Agents, or Antiseptic Agents? Intra-Operative Surgical Irrigation of the Surgical Incision: What Does the Future Hold—Saline, Antibiotic Agents, or Antiseptic Agents? | Surgical Infections PubMed abstract

46. Antimicrobial Prophylaxis for Adult Patients with Cancer-Related Immunosuppression

adverse effects, as well as concerns with antimicrobial resistance, cost considerations, and the physiologic importance to the host of maintaining equilibrium in the diversity and density of the host microbiome, the decision to administer prophylaxis requires balancing benefits and harms. The previous version of this guideline recommended antibacterial and antifungal prophylaxis for higher-risk patients and that there was not a high enough baseline risk of FN and infection-related mortality in lower (...) contained within this guideline can be found in the Bottom Line box. GUIDELINE QUESTIONS Section: This clinical practice guideline addresses the following clinical questions: Does antibacterial prophylaxis with a fluoroquinolone, compared with placebo, no intervention, or another class of antibiotic reduce the incidence of and mortality related to FN? Does antifungal (antiyeast or antimold) prophylaxis with an oral triazole or parenteral echinocandin, compared with no prophylaxis or another treatment

2018 American Society of Clinical Oncology Guidelines

50. 2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy

to either remain in hospital for IV antibiotic therapy or forgo IV antimicrobial treatment [42–45]. Methodology Panel Composition The last version of the IDSA OPAT Guideline was published in 2004 [1]. For the current update, 1 of the chairs assembled 11 ID physicians from both academic and private practice settings, including 3 pediatric ID physicians who are members of the Pediatric Infectious Diseases Society. Also included were an experienced ID pharmacist, a member of the Infusion Nursing Society (...) to SNFs, sending patients home without a VAD but bringing them to an outpatient facility for each antimicrobial administration, or keeping them in hospital for the duration of their parenteral antibiotic treatment course. It should be noted that there are no data to suggest that the risk of device misuse is any lower in SNFs, where patients have ample opportunity for illicit drug administration. Confirmation about whether PWID are at higher risk of vascular access complications during OPAT and, if so

2018 Infectious Diseases Society of America

51. Antibiotic Prophylaxis in Oral Surgery for Prevention of Surgical Site Infection

by antimicrobial resistance 6, level III and new antibiotic discovery is not keeping pace with the rates of this antimicrobial resistance. 7, level III Also, an antibiotic administered to a patient can act as an antigenic stimulus and hence produce an allergic reaction. Allergic reactions manifest either locally or systemically at varying degrees of severity ranging from minor skin lesions to anaphylactic shock and death. Antibiotics in general should be used only when the benefits outweigh the risks (...) Antibiotic Prophylaxis in Oral Surgery for Prevention of Surgical Site Infection i TABLE OF CONTENTS GUIDELINE DEVELOPMENT AND OBJECTIVES CLINICAL QUESTIONS TARGET POPULATION, TARGET GROUP HEALTHCARE SETTINGS LEVELS OF EVIDENCE AND GRADES OF RECOMMENDATIONS MEMBERS OF THE GUIDELINE DEVELOPMENT GROUP MEMBERS OF THE REVIEW COMMITTEE 1.0 INTRODUCTION 2.0 INDICATIONS FOR PROPHYLACTIC ANTIBIOTICS 2.1 Patients with underlying medical problems 2.2 Clean surgery 2.3 Clean-contaminated surgery 2.3.1

2015 Ministry of Health, Malaysia

52. Prophylactic antibiotics for insertion of peritoneal dialysis catheter

, peritonitis, catheter malfunction rates and catheter survival times. These data should be submitted to the ANZDATA registry. BACKGROUND Many people with end-stage kidney disease use PD as their mode of renal replacement therapy. Despite advances in connectology, peritonitis remains the Achilles heel of PD with rates greater than 0.6 episode/patient-year reported in Australia and New Zealand [1]. Different antimicrobial interventions are used to reduce the risk of peritonitis. Antibiotic prophylaxis (...) not included in Medline. Date of searches: October 2010; update search August 2012. WHAT IS THE EVIDENCE? Systematic reviews A 2004 Cochrane review of antimicrobial agents used to prevent peritonitis in PD included nineteen randomised controlled trials (RCTs) which reported on 1949 participants [2]. Oral antibiotics The 2004 Cochrane review identified different trials involving 315 participants who were randomly assigned to receive oral prophylactic antibiotics (co-trimoxazole, cephalexin, ofloxacin

2014 KHA-CARI Guidelines

53. Antibiotic prophylaxis for GI endoscopy

of the GI tract (such as cholangitis) and for those who receive antibiotic therapy to prevent wound infection or sepsis associated with a GI tract procedure, it is recommended that the antibiotic regimen include an antimicrobial agent active against enterococci, such as penicillin, ampicillin, piperacillin, or vancomycin.44BB Prosthetic cardiac valve History of IE Cardiac transplant recipients who develop cardiac valvulopathy Patients with CHD Unrepaired cyanotic CHD including palliative shunts (...) , gram-negative bacteria, or other microorganisms associated with implantation of the graft or resulting from wound or other active infections. The AHA does not recommend antibiotic prophylaxis after vascular graft or other nonvalvular cardiovascular device placement for patients who undergo GI endoscopic procedures. The AHA recently stated that antimicrobial prophylaxis is not recommended for any endoscopic procedures in patients with cardiovascular implantable electronic devices. 75 Endoscopy

2015 American Society for Gastrointestinal Endoscopy

54. Preterm Labour, Antibiotics and Cerebral Palsy

Preterm Labour, Antibiotics and Cerebral Palsy Preterm Labour, Antibiotics, and Cerebral Palsy Scientific Impact Paper No. 33 February 2013Preterm Labour, Antibiotics, and Cerebral Palsy 1. Introduction The rate of preterm birth (pregnancy under 37 +0 weeks of gestation) is 5–9% of all births in Europe, and 12–13% in the United States of America (USA); the rates in both continents increased up to 2008, partly due to the higher number of multiple births associated with assisted conceptions. 1 (...) , emotional and stressful times of their lives, 3 regardless of the longer term outcome. The sequelae of preterm birth also pose significant challenges. Children born preterm are at increased risk of major disabilities such as cerebral palsy. The risk of cerebal palsy increases as gestation at birth decreases. 4 Many children who were born preterm without disability develop significant behavioural and educational difficulties. 5 This paper will examine the evidence for: ? Prescribing antibiotics

2013 Royal College of Obstetricians and Gynaecologists

55. Use of Antibiotic Therapy for Pediatric Dental Patients

by the Council on Clinical Affairs and adopted in 2001. This document is a revision of the previous version, last revised in 2009. The revision was based upon a new systematic literature search of the PubMed ® /MEDLINE database using the terms: antibiotic therapy, antibacterial agents, antimicrobial agents, dental trauma, oral wound man- agement, orofacial infections, periodontal disease, viral disease, and oral contraception; fields: all; limits: within the last 10 years, humans, English, clinical trials (...) of systemic involvement (i.e., fever, asymmetry, facial swelling) warrant emergency treatment. Intravenous antibiotic therapy and/or referral for medical management may be indicated. 9-11 Penicillin remains the empirical choice for odontogenic infections; however, consideration of additional adjunctive antimicrobial therapy (i.e., metronidazole) can be given where there is anaerobic bacterial involvement. 8 Dental trauma Systemic antibiotics have been recommended as adjunc- tive therapy for avulsed

2014 American Academy of Pediatric Dentistry

56. Antibiotic Prophylaxis for Dental Patients at Risk for Infection

, Wilson W, et al. Prevention of bacterial endocarditis: Recommendations by the American Heart Association. JAMA 1997;227(22): 1794-801. 9. Centers for Disease Control and Prevention. Antibiotic/ Antimicrobial resistance. About antimicrobial resistance: A brief overview. Available at: “http://www.cdc.gov/drug resistance/about.html”. Accessed August 20, 2014. AMERICAN ACADEMY OF PEDIATRIC DENTISTRY RECOMMENDATIONS: BEST PRACTICES 391 10. Lockhart PB, Loven B, Brennan MT, Baddour LM, Levinson M (...) Antibiotic Prophylaxis for Dental Patients at Risk for Infection 386 RECOMMENDATIONS: BEST PRACTICES REFERENCE MANUAL V 40 / NO 6 18 / 19 Purpose The American Academy of Pediatric Dentistry ( AAPD) recognizes that numerous medical conditions predispose pa- tients to bacteremia-induced infections. Because it is not possible to predict when a susceptible patient will develop an infection, prophylactic antibiotics are recommended when these patients undergo procedures that are at risk for produc

2014 American Academy of Pediatric Dentistry

57. General principles and prescription recommendations for antibiotics in primary care

General principles and prescription recommendations for antibiotics in primary care Haute Autorité de Santé - General principles and prescription recommendations for antibiotics in primary care Fermer Choose language Accessibility Change contrast : Standards Reinforced icone Chercher icone plus Chercher My account My account Please fill in your email address to retrieve your email alerts subscriptions. Please fill in your email address to retrieve your newsletter subscriptions. You do not have (...) principles and prescription recommendations for antibiotics in primary care Practice guidelines - Posted on Feb 24 2014 The purpose of this guidance leaflet is to avoid inappropriate prescription of antibiotics, a source of selection pressure, which leads to the emergence of bacterial resistance and to therapeutic impasses. Each antibiotic prescription must be cautious, balancing : the short-term benefits for the patient, the priority if he/she is indeed suffering from a bacterial infection; the adverse

2014 HAS Guidelines

58. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 7: Antibiotic-impregnated shunt systems versus conventional shunts in children: a systematic review and meta-analysis

antimicrobial activity of antibiotic- impregnated cerebrospinal fluid catheters. N e u r o s u r g e r y 5 8 :930–935, 2006 38. Pattavilakom A, Xenos C, Bradfield O, Danks RA: Reduction in shunt infection using antibiotic impregnated CSF shunt catheters: an Australian prospective study. J C l i n N e u r o s c i 14:526–531, 2007 39. Pirotte BJ, Lubansu A, Bruneau M, Loqa C, Van Cutsem N, Brotchi J: Sterile surgical technique for shunt placement re- duces the shunt infection rate in children: preliminary (...) - impregnated shunt catheters in reducing shunt infection: data from the United Kingdom Shunt Registry. Clinical article. J Neurosurg Pediatr 4:389–393, 2009 45. Ritz R, Roser F, Morgalla M, Dietz K, Tatagiba M, Will BE: Do antibiotic-impregnated shunts in hydrocephalus therapy reduce the risk of infection? An observational study in 258 patients. B M C I n f e c t D i s 7 :38, 2007 46. Rozzelle CJ, Leonardo J, Li V: Antimicrobial suture wound closure for cerebrospinal fluid shunt surgery: a prospective

2014 Congress of Neurological Surgeons

59. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 6: Preoperative antibiotics for shunt surgery in children with hydrocephalus: a systematic review and meta-analysis

infections in children. Neurosur - ger y 9:6–8, 1981 2. Arnaboldi L: Antimicrobial prophylaxis with ceftriaxone in neurosurgical procedures. A prospective study of 100 patients undergoing shunt operations. C h e mo t h e r a p y 42:384–390, 1996 3. Attenello FJ, Garces-Ambrossi GL, Zaidi HA, Sciubba DM, Jallo GI: Hospital costs associated with shunt infections in pa- tients receiving antibiotic-impregnated shunt catheters versus standard shunt catheters. Neu ro s u r g e r y 66:284–289, 2010 4. Barker FG (...) . Bayston R, Bannister C, Boston V, Burman R, Burns B, Cooke F, et al: A prospective randomised controlled trial of antimicrobial prophylaxis in hydrocephalus shunt surgery. Z K i nde r c h i r 45 (Suppl 1):5–7, 1990 9. Biyani N, Grisaru-Soen G, Steinbok P, Sgouros S, Constantini S: Prophylactic antibiotics in pediatric shunt surgery. Childs N e r v S y s t 22:1465–1471, 2006 10. Blomstedt GC: Results of trimethoprim-sulfamethoxazole prophylaxis in ventriculostomy and shunting procedures. A double-blind

2014 Congress of Neurological Surgeons

60. General principles and prescription recommendations for antibiotics in primary care

General principles and prescription recommendations for antibiotics in primary care Guidance Leaflet – General principles and prescription recommendations for antibiotics in primary care | 1 THE ORIGINAL FRENCH VERSION IS THE LEGALLY BINDING TEXT Guidance Leaflet General principles and prescription recommendations for antibiotics in primary care February 2014 Objective The purpose of this guidance leaflet is to avoid inappropriate prescription of antibiotics, a source of selection pressure (...) , which leads to the emergence of bacterial resistance and to therapeutic impasses. Each antibiotic prescription must be cautious, balancing: • the short-term benefits for the patient, the priority if he/she is indeed suffering from a bacterial infection; • the adverse effects for the patient on his/her commensal flora and for bacterial ecology through the selection of multiresistant bacteria. ´ Handwashing with soap or using a hand sanitiser helps to reduce the transmission of microorganisms by hand

2014 HAS Guidelines

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