Limited impact of a nudge comment in promoting de-escalation to first-generation cephalosporins in urinary tract infections.
Martin T BrennemanSarah E MooreMatthew SongBrian C BohnElena A SwinglerChristopher W WhitmanAlan D JunkinsAshley M WildePublished in: Antimicrobial stewardship & healthcare epidemiology : ASHE (2022)
In this study, we evaluated the impact of a microbiology nudge on de-escalation to first-generation cephalosporins in hospitalized patients with urinary tract infections secondary to Escherichia coli , Klebsiella pneumoniae , and Proteus mirabilis isolates with minimum inhibitory concentrations (MICs) ≤ 16 µg/mL. De-escalation to first generation-cephalosporins was uncommon at MICs = 4-16 µg/mL.