Kaur S, Hutton M, Kenney RM, Weinmann A, Samuel L, Tibbetts R, Davis SL, and Medler C. The long-term sustainability of a respiratory culture nudge. Antimicrob Steward Healthc Epidemiol 2022; 2(1):e15.
Antimicrob Steward Healthc Epidemiol
Resource-intensive interventions and education are susceptible to a lack of long-term sustainability and regression to the mean. The respiratory culture nudge changed reporting to "Commensal Respiratory Flora only: No S. aureus/MRSA or P. aeruginosa." This study demonstrated sustained reduction in broad-spectrum antibiotic duration and long-term sustainability 3 years after implementation.