Microbiology Comment Nudge Improves Pneumonia Prescribing.
Musgrove MA, Kenney RM, Kendall RE, Peters M, Tibbetts R, Samuel L, and Davis SL. Microbiology comment nudge improves pneumonia prescribing Open Forum Infect Dis 2018 Jul 10;5(7):ofy162
Open Forum Infect Dis
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.