Respiratory culture nudge improves antibiotic prescribing for Moraxella catarrhalis and Haemophilus influenzae lower respiratory tract infections.

Christen J ArenaRachel M KenneyRonald E KendallRobert J TibbettsMichael P Veve

Published in: Antimicrobial stewardship & healthcare epidemiology : ASHE (2023)

We compared optimal antibiotic prescribing before and after implementing an interpretive β-lactamase microbiology comment for Haemophilus influenzae and Moraxella catarrhalis in lower respiratory-tract infections. The postintervention group was associated with 5-fold increased odds of optimal de-escalation (adjusted odds ratio, 5.03; 95% confidence interval, 2.57-9.87).

Keyphrases

respiratory tract
primary care
escherichia coli
adverse drug
multidrug resistant
open label
gram negative
quality improvement
randomized controlled trial
emergency department
clinical trial