Form 57.75P Antimicrobial Use and Resistance (AUR) - Microbiology La

The National Healthcare Safety Network (NHSN)

P_AUR Laboratory.ppt

Antimicrobial Use and Resistance (AUR) - Microbiology Laboratory Data

OMB: 0920-0666

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  1. *Facility ID# :

  1. *Month:

  1. *Year:

  1. *Location Code:

  1. Do not report duplicate isolates (i.e., the same patient with the same species) or surveillance cultures

 

  1. Susceptible*

  1. Intermediate*

  1. Resistant*

  1. Total Tested*

  1. GRAM POSITIVE ORGANISMS

    

  1. Coagulase-negative staphylococci

    

  1. vancomycin

    

  1. Enterococcus spp.

    

  1. vancomycin

    

  1. Staphylococcus aureus

    

  1. oxacillin

    

  1. vancomycin

    

  1. GRAM NEGATIVE ORGANISMS

    

  1. Acinetobacter spp.

    

  1. amikacin

    

  1. cefepime

    

  1. ceftazidime

    

  1. imipenem

    

  1. piperacillin/tazobactam

    

  1. ampicillin/sulbactam

    

  1. Enterobacter spp.

    

  1. cefotaxime

    

  1. ceftazidime

    

  1. imipenem

    

  1. meropenem

    

  1. Escherichia coli

    

  1. cefotaxime

    

  1. ceftazidime

    

  1. ciprofloxacin

    

  1. imipenem

    

  1. Klebsiella pneumoniae

    

  1. cefotaxime

    

  1. ceftazidime

    

  1. imipenem

    

  1. Pseudomonas aeruginosa

    

  1. cefepime

    

  1. ceftazidime

    

  1. ciprofloxacin

    

  1. levofloxacin

    

  1. imipenem

    

  1. meropenem

    

  1. piperacillin

    

  1. amikacin

    

  1. * Enter zero if not tested. an entry is required on every field.

    

 
 
File Typeapplication/vnd.ms-powerpoint
File TitleSlide 1
AuthorJasie L. Jackson
Last Modified Byrfp9
File Modified2007-07-25
File Created2007-04-19
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