Title

Microbiology Comment Nudge Improves Pneumonia Prescribing.

Document Type

Article

Publication Date

7-1-2018

Publication Title

Open Forum Infect Dis

Abstract

Background: Systematic and behavioral interventions are needed to improve antibiotic use for common conditions like pneumonia.

Methods: Single pretest, post-test quasi-experiment in a 4-hospital health system in metropolitan Detroit, Michigan. Hospitalized patients treated with anti-methicillin-resistant

Results: Two hundred ten patients were included in the study. De-escalation/discontinuation was more commonly performed in the intervention group (39% vs 73%,

Conclusion: A simple, behavioral nudge in microbiology reporting increased de-escalation and discontinuation of unnecessary broad-spectrum antibiotics. This highlights the importance of clear, persuasive communication of diagnostic testing in improving antibiotic prescribing behaviors.

PubMed ID

30057928

Volume

5

Issue

7

First Page

ofy162

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