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Optimizing Antimicrobial Therapy with Timeouts

Stanford University via Stanford OpenEdx

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Overview

Antibiotic misuse is widespread and has dire patient and public health consequences. National organizations, including the CDC and the Joint Commission, advocate for a formal “Antibiotic Timeout” to reassess empiric antibiotics 48-72 hours after their initiation. During this Timeout, clinicians should answer the following questions:

Does the patient have an infection that will respond to antibiotics?
If so, is the patient on the right antibiotic(s) and is it being administered in the correct dose and by the correct route and (in the case of intravenous therapy) duration of infusion?
Can a more targeted antibiotic regimen be used to treat the infection (i.e., de-escalation)?
For how long should the antibiotic(s) be administered?
This CME/CPE activity provides a practical approach to performing “Antibiotic Timeouts” in the inpatient setting. Using short, didactic sessions, we will provide examples on how to reassess antibiotic therapy started empirically using clinical, laboratory, and microbiological data. The majority of this CME/CPE will be high-yield, interactive inpatient cases covering skin and soft tissue infections, pneumonia, catheter-associated urinary tract infections, and neutropenic fever, that illustrate the timeout process and the principles of appropriate use of antimicrobials.

Syllabus

Introduction
Empiric Antibiotic Therapy
Antibiotic Timeout Cases
Course Wrap-up
Resources and References
Help!

Taught by

Arjun Srinivasan

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