RESTRCTED ANTIBIOTIC WORKFLOW.docx

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Sandhya Kulkarni

Restricted antibiotic work flow

Healthcare

Workflow for restricted antimicrobial order
Step
-
1
Indication
justified?
•As per clinical history
and examination,
•Suspecting infection if
significant or severe
symptoms with high risk
of complications or
•the infection is not
resolving or is unlikely
to resolve. If yes?
•START FIRST DOSE
•SEND paired blood and
other CULTURES &
CRP/Procalcitonnin
related investigations to
rule in infective etiology
•Go - Step -2
Step
-
2
Precribe
first
dose
&
get
approval
•1. Fill RESTRICTED
ANTIMICROBIAL form sign
with date and time
•2. Get UNIT HEAD or HOD
APPROVAL
•3. Submit to pharmacy on
DAY 2 /3 of treatment
•4. Pharmacy to document
and check for
completeness of form,
maintain forms, report
monthly to committee
•Go to Step 3
Step
-
3
REVIEW/STOP/DEESCALTE
•As the case evolves
clinically and
additional information
is available -take
decision to
•1. continue restricted
antibiotic?
•2. STOP ? with or
without
•3. Deescalate to
narrow spectrum
antimicrobial

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