Defining Antibiotic Inertia: Application of a Focused Clinical Scenario Survey to Illuminate A New Target for Antimicrobial Stewardship During Transitions of Care.

Kooda, Kirstin; Bellolio, Fernanda; Dierkhising, Ross; Tande, Aaron J · Clin Infect Dis · 2022

cross_sectional · Level IV

Where this comes from

Abstract

In clinical scenario surveys, inpatient providers were more likely to report continuing inappropriate (odds ratio, 2.02 [95% confidence interval, 1.35-3.03]; P<.001) or broad-spectrum (1.8 [1.27-2.56]; P=.001) antibiotic therapy when initiated by emergency department providers, than to change to appropriate or narrow-spectrum therapy, respectively. Antibiotic inertia could represent a significant antibiotic stewardship target.

Medical subject headings