40 Questions
Which of the following best defines antimicrobial stewardship?
A coordinated effort to promote the appropriate use of antibiotics
What is the purpose of empirical decision making in antibiotic use?
To use first-line antimicrobials based on initial assessment
What do critically important antibiotics refer to?
The last two antibiotics used to treat certain conditions in humans
What is the recommended approach for selecting antibiotics from the first-line group?
Choose a narrow-spectrum antibiotic if possible
When should a culture and sensitivity test be used for antibiotic decision making?
In the second line group of antimicrobials
When should tertiary (third line) antimicrobials be used?
When culture and sensitivity results are available and primary or secondary drugs are not suitable
What does the term 'restricted' refer to in the context of antibiotics?
Antibiotics that are only restricted for human medications
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
What should be avoided when using antibiotics, according to the BVA 7 point plan?
Using antibiotics for viral infections
What is the third point of the BVA 7 point plan for responsible use of antibiotics?
Identify likely target organisms
According to the BVA 7 point plan, what should be considered when selecting antibiotics?
Clinical judgement and up-to-date knowledge
What is the fifth point of the BVA 7 point plan for responsible use of antibiotics?
Minimize use of antibiotics
According to the BVA 7 point plan, what should be done if treatment is failing?
Send bacteria for culture and sensitivity
What should be done to justify deviations from protocols, according to the BVA 7 point plan?
Use primary to tertiary antibiotic selections
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
Which of the following best describes antimicrobial stewardship?
A coordinated effort to promote the appropriate use of antibiotics
What is the primary consideration when selecting antibiotics from the first-line group?
Narrow spectrum by choice
When should a culture and sensitivity test be used for antibiotic decision making?
When selecting antibiotics from the tertiary (third line) group
What do critically important antibiotics refer to?
Antibiotics that are used as a last resort
What is the purpose of empirical decision making in antibiotic use?
To initiate treatment before culture results are available
What is the primary focus of antimicrobial stewardship?
Promoting the selection of the optimal microbial drug regimen
What is the role of the Veterinary Medicines Directorate in antibiotic use?
To restrict the use of antibiotics in veterinary medicine
According to the BVA 7 point plan, what is the second point for responsible use of antibiotics?
Avoid inappropriate use
What should be done to minimize the use of antibiotics, according to the BVA 7 point plan?
Use only when necessary and evidence-based
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
What is the recommended approach for selecting antibiotics from the first-line group, according to the BVA 7 point plan?
Identify likely target organisms
What is the third point of the BVA 7 point plan for responsible use of antibiotics?
Identify likely target organisms
According to the BVA 7 point plan, what should be considered when selecting antibiotics?
Clinical judgement and up-to-date knowledge
What is the fifth point of the BVA 7 point plan for responsible use of antibiotics?
Minimize use
According to the BVA 7 point plan, what should be done if treatment is failing?
Send samples for culture and sensitivity
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Test your knowledge on antibiotic decision making and antimicrobial stewardship with this quiz. Learn about the importance of selecting the right drug regimen, dose, duration, and route of administration. Find out why it's crucial to culture your microorganisms during the initial assessment.
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