Mastering Antibiotic Decision Making

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Which of the following best defines antimicrobial stewardship?

A coordinated effort to promote the appropriate use of antibiotics (correct)

A method to increase the use of broad-spectrum antibiotics

A campaign to eliminate the use of antibiotics

A strategy to select the most expensive antibiotics

What is the purpose of empirical decision making in antibiotic use?

To rely on the patient's previous antibiotic use

To select the most expensive antibiotic

To always culture microorganisms before choosing an antibiotic

To use first-line antimicrobials based on initial assessment (correct)

What do critically important antibiotics refer to?

Antibiotics that are not effective against any condition in humans

The most commonly prescribed antibiotics for any condition

Antibiotics that should be avoided in all cases

The last two antibiotics used to treat certain conditions in humans (correct)

What is the recommended approach for selecting antibiotics from the first-line group?

Choose a narrow-spectrum antibiotic if possible Signup and view all the answers

When should a culture and sensitivity test be used for antibiotic decision making?

In the second line group of antimicrobials Signup and view all the answers

When should tertiary (third line) antimicrobials be used?

When culture and sensitivity results are available and primary or secondary drugs are not suitable Signup and view all the answers

What does the term 'restricted' refer to in the context of antibiotics?

Antibiotics that are only restricted for human medications Signup and view all the answers

According to the BVA 7 point plan, what is the first point for responsible use of antibiotics?

Work with clients to avoid the need for antimicrobials Signup and view all the answers

What should be avoided when using antibiotics, according to the BVA 7 point plan?

Using antibiotics for viral infections Signup and view all the answers

What is the third point of the BVA 7 point plan for responsible use of antibiotics?

Identify likely target organisms Signup and view all the answers

According to the BVA 7 point plan, what should be considered when selecting antibiotics?

Clinical judgement and up-to-date knowledge Signup and view all the answers

What is the fifth point of the BVA 7 point plan for responsible use of antibiotics?

Minimize use of antibiotics Signup and view all the answers

According to the BVA 7 point plan, what should be done if treatment is failing?

Send bacteria for culture and sensitivity Signup and view all the answers

What should be done to justify deviations from protocols, according to the BVA 7 point plan?

Use primary to tertiary antibiotic selections Signup and view all the answers

What types of infections should antibiotics not be used for, unless they are culture positive, according to the BVA 7 point plan?

Urinary tract infections Signup and view all the answers

Which of the following best describes antimicrobial stewardship?

A coordinated effort to promote the appropriate use of antibiotics Signup and view all the answers

What is the primary consideration when selecting antibiotics from the first-line group?

Narrow spectrum by choice Signup and view all the answers

When should a culture and sensitivity test be used for antibiotic decision making?

When selecting antibiotics from the tertiary (third line) group Signup and view all the answers

What do critically important antibiotics refer to?

Antibiotics that are used as a last resort Signup and view all the answers

What is the purpose of empirical decision making in antibiotic use?

To initiate treatment before culture results are available Signup and view all the answers

What is the primary focus of antimicrobial stewardship?

Promoting the selection of the optimal microbial drug regimen Signup and view all the answers

What is the role of the Veterinary Medicines Directorate in antibiotic use?

To restrict the use of antibiotics in veterinary medicine Signup and view all the answers

According to the BVA 7 point plan, what is the second point for responsible use of antibiotics?

Avoid inappropriate use Signup and view all the answers

What should be done to minimize the use of antibiotics, according to the BVA 7 point plan?

Use only when necessary and evidence-based Signup and view all the answers

What should be done to record and justify deviations from protocols, according to the BVA 7 point plan?

Show that you worked from primary to tertiary antibiotic selections Signup and view all the answers

What is the recommended approach for selecting antibiotics from the first-line group, according to the BVA 7 point plan?

Identify likely target organisms Signup and view all the answers

What is the third point of the BVA 7 point plan for responsible use of antibiotics?

Identify likely target organisms Signup and view all the answers

According to the BVA 7 point plan, what should be considered when selecting antibiotics?

Clinical judgement and up-to-date knowledge Signup and view all the answers

What is the fifth point of the BVA 7 point plan for responsible use of antibiotics?

Minimize use Signup and view all the answers

According to the BVA 7 point plan, what should be done if treatment is failing?

Send samples for culture and sensitivity Signup and view all the answers

What is the definition of antimicrobial stewardship?

Antimicrobial stewardship is defined as coordinated interventions designed to improve and measure the appropriate use of antibiotics by promoting the selection of the optimal microbial drug regimen, dose, duration of therapy, and route of administration. Signup and view all the answers

What is the concept of empirical decision making in antibiotic use?

Empirical decision making involves culturing microorganisms during the initial assessment of infection and using first-line antimicrobials based on the culture results. Signup and view all the answers

What are critically important antibiotics?

Critically important antibiotics refer to the last two antibiotics that are able to be used to treat certain conditions in humans. Signup and view all the answers

How should antibiotics be selected from the first-line group?

Ideally, antibiotics from the first-line group should be narrow spectrum by choice and the first choice whenever possible. Signup and view all the answers

When should a culture and sensitivity test be used for antibiotic decision making?

A culture and sensitivity test should be used for antibiotic decision making in the second line group, or when primary or secondary drugs have been ruled out, to determine the resistance profile of the organism. Signup and view all the answers

What are the first two points of the BVA 7 point plan for responsible use of antibiotics?

The first two points are working with clients to avoid the need for antimicrobials and avoiding inappropriate use. Signup and view all the answers

What should be considered when identifying the right drug for the right bug, according to the BVA 7 point plan?

Likely target organisms, their susceptibility, practice-based protocols, and knowledge of antimicrobials' properties. Signup and view all the answers

What is the fourth point of the BVA 7 point plan for responsible use of antibiotics?

The fourth point is monitoring antimicrobial sensitivity and determining if culture and sensitivity is suitable and justifiable. Signup and view all the answers

What are two ways to minimize the use of antibiotics, according to the BVA 7 point plan?

Using antibiotics only when necessary and when there is evidence that usage reduces morbidity and/or mortality, and developing written protocols for appropriate use. Signup and view all the answers

What should be done to record and justify deviations from protocols, according to the BVA 7 point plan?

Deviation from protocols should be recorded and justified, showing that primary to tertiary selections have been considered. Signup and view all the answers

Mastering Antibiotic Decision Making

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Questions and Answers

Which of the following best defines antimicrobial stewardship?

What is the purpose of empirical decision making in antibiotic use?

What do critically important antibiotics refer to?

What is the recommended approach for selecting antibiotics from the first-line group?

When should a culture and sensitivity test be used for antibiotic decision making?

When should tertiary (third line) antimicrobials be used?

What does the term 'restricted' refer to in the context of antibiotics?

According to the BVA 7 point plan, what is the first point for responsible use of antibiotics?

What should be avoided when using antibiotics, according to the BVA 7 point plan?

What is the third point of the BVA 7 point plan for responsible use of antibiotics?

According to the BVA 7 point plan, what should be considered when selecting antibiotics?

What is the fifth point of the BVA 7 point plan for responsible use of antibiotics?

According to the BVA 7 point plan, what should be done if treatment is failing?

What should be done to justify deviations from protocols, according to the BVA 7 point plan?

What types of infections should antibiotics not be used for, unless they are culture positive, according to the BVA 7 point plan?

Which of the following best describes antimicrobial stewardship?

What is the primary consideration when selecting antibiotics from the first-line group?

When should a culture and sensitivity test be used for antibiotic decision making?

What do critically important antibiotics refer to?

What is the purpose of empirical decision making in antibiotic use?

What is the primary focus of antimicrobial stewardship?

What is the role of the Veterinary Medicines Directorate in antibiotic use?

According to the BVA 7 point plan, what is the second point for responsible use of antibiotics?

What should be done to minimize the use of antibiotics, according to the BVA 7 point plan?

What should be done to record and justify deviations from protocols, according to the BVA 7 point plan?

What is the recommended approach for selecting antibiotics from the first-line group, according to the BVA 7 point plan?

What is the third point of the BVA 7 point plan for responsible use of antibiotics?

According to the BVA 7 point plan, what should be considered when selecting antibiotics?

What is the fifth point of the BVA 7 point plan for responsible use of antibiotics?

According to the BVA 7 point plan, what should be done if treatment is failing?

What is the definition of antimicrobial stewardship?

What is the concept of empirical decision making in antibiotic use?

What are critically important antibiotics?

How should antibiotics be selected from the first-line group?

When should a culture and sensitivity test be used for antibiotic decision making?

What are the first two points of the BVA 7 point plan for responsible use of antibiotics?

What should be considered when identifying the right drug for the right bug, according to the BVA 7 point plan?

What is the fourth point of the BVA 7 point plan for responsible use of antibiotics?

What are two ways to minimize the use of antibiotics, according to the BVA 7 point plan?

What should be done to record and justify deviations from protocols, according to the BVA 7 point plan?

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