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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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RESTRCTED ANTIBIOTIC WORKFLOW.docx

  • 1. 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