ANTIBIOTIC STEWARDSHIP
Choose the best possible answer for each question and mark your answers on the self-assessment answer sheet at the end of this book. There is a required score of 70% or better to receive a certificate of completion.
11. Which of the following is NOT a core element of antibiotic stewardship programs? A. Commitment from leadership. B. Accountability. C. Antibiotic timeout. D. Action. 12. Which of the following has NOT been shown to be a successful method of assessing effectiveness of antibiotic stewardship programs? A. Days of therapy. B. Adherence to treatment recommendations. C. Clostridium difficile infections. D. Spending on antibiotics. 13. Which of the following is NOT a useful method for small facilities to seek off-site support for antibiotic stewardship programs? A. Hiring more staff to perform stewardship activities. B. Enrolling in collaborative efforts with other facilities. C. Funding remote consultation or telemedicine programs to consult with infectious disease specialists. D. Contracting with external-pharmacy services to provide antibiotic stewardship services. 14. In a nursing home, the _______________ can set standards for the facility in terms of assessing, monitoring, and communicating changes in condition by nursing staff. A. Administrator.
16. All of the following interventions can be applied to the treatment of UTIs, EXCEPT: A. Preventing unnecessary urine cultures. B. Avoiding treatment of patients who are asymptomatic. C. Ensuring patients receive therapy based on local susceptibilities and for the recommended duration of treatment. D. Ensuring patients who are asymptomatic receive treatment. 17. ______________________ represent(s) the total number of days that individual antibiotics are used. A. Days of therapy (DOT).
B. Defined daily dose. C. Hours of therapy. D. Defined hourly dose.
18. Highest yield interventions for antibiotic stewardship should focus on the infections that account for the majority of hospital antibiotic use. Examples of these infections include all of the following EXCEPT:
A. Community acquired pneumonia. B. Skin and soft tissue infections. C. Clostridium Difficile diarrhea. D. Urinary tract infection.
19. What percentage of Nursing Home patients receive at least one course of systemic antibiotics every year?
A. 10%. B. 25%. C. 70%. D. 95%.
B. Director of nursing. C. Billing supervisor. D. Director of staffing.
15. Clinicians should review all antibiotics 48 hours after initiation to answer the following questions, EXCEPT: A. Can antibiotic treatment be escalated, or switched, to a more broad spectrum antibiotic? B. If the patient has an infection responsive to antibiotics, is the patient taking the correct antibiotic, dosage, and route of administration? C. Can antibiotic treatment be de-escalated, or switched, to a more targeted antibiotic? D. For what duration should the patient receive antibiotics?
20. Data collection for antibiotic stewardship is important to: A. Reprimand providers using expensive antibiotics. B. Increase the continuing education credits for providers. C. Assess for areas of improvement in antibiotic use. D. Improve patient satisfaction scores.
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