A little nudge goes a long way: assessing the impact of a microbiology nudge comment on narrow-spectrum antibiotic use in uncomplicated <i>Streptococcus pneumoniae</i> bloodstream infections
Narrow-spectrum antibiotic prescribing (ampicillin IV or penicillin IV) was compared before and after implementing an interpretive microbiology comment for uncomplicated <i>Streptococcus pneumoniae</i> 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).
Authors
- Rachel M. Kenney (ORCID: https://orcid.org/0000-0003-3696-2204)
- Michael P. Veve (ORCID: https://orcid.org/0000-0001-5967-5211)
- Nathan Everson (ORCID: https://orcid.org/0000-0002-8000-8453)
- Anita Shallal (ORCID: https://orcid.org/0000-0002-1940-3622)
- Geehan Suleyman (ORCID: https://orcid.org/0000-0002-5630-0104)
- Robert Tibbetts
- Sydney VanDorf (ORCID: https://orcid.org/0009-0003-0523-1844)
- Michael O. Akon
Institutions
- Henry Ford Health System (US)
- Wayne State University (US)
Publication Details
- Journal
- Antimicrobial Stewardship & Healthcare Epidemiology
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1017/ash.2025.10137
- Primary Topic
- Pneumonia and Respiratory Infections
- Type
- article
- Field-Weighted Citation Impact
- 0.00