A little nudge goes a long way: assessing the impact of a microbiology nudge comment on narrow-spectrum antibiotic use in uncomplicated Streptococcus pneumoniae bloodstream infections

Authors

Michael O. Akon, Henry Ford Health
Rachel M. Kenney, Henry Ford HealthFollow
Nathan A. Everson, Henry Ford HealthFollow
Sydney VanDorf, Henry Ford HealthFollow
Geehan Suleyman, Henry Ford HealthFollow
Robert J. Tibbetts, Henry Ford HealthFollow
Anita B. Shallal, Henry Ford HealthFollow
Michael P. Veve, Henry Ford HealthFollow

Recommended Citation

Akon MO, Kenney RM, Everson NA, VanDorf S, Suleyman G, Tibbetts RJ, Shallal AB, and Veve MP. A little nudge goes a long way: assessing the impact of a microbiology nudge comment on narrow-spectrum antibiotic use in uncomplicated Streptococcus pneumoniae bloodstream infections. Antimicrob Steward Healthc Epidemiol 2025;5(1):e230.

Document Type

Article

Publication Date

9-1-2025

Publication Title

Antimicrob Steward Healthc Epidemiol

Abstract

Narrow-spectrum antibiotic prescribing (ampicillin IV or penicillin IV) was compared before and after implementing an interpretive microbiology comment for uncomplicated Streptococcus pneumoniae bloodstream infections. The postintervention group was associated with 4-fold increased odds of de-escalation to narrow-spectrum antibiotics (adjusted odds ratio, 4.66; 95% confidence interval, 1.97-11.00).

PubMed ID

40989659

Volume

5

Issue

1

First Page

230

Last Page

230