Defining Antibiotic Inertia: Application of a Focused Clinical Scenario Survey to Illuminate A New Target for Antimicrobial Stewardship During Transitions of Care. (1st October 2021)

• Record Type: Journal Article
• Authors: Kooda, Kirstin; Bellolio, Fernanda; Dierkhising, Ross; Tande, Aaron J
• Is Part Of: Clinical infectious diseases. Volume 74:Number 11(2022)
• Page Start: 2050
• Page End: 2052
• Publication Date: 2021-10-01
• Subjects: antimicrobial stewardship -- emergency department -- behavioral patterns -- cognitive bias -- transitions of care; Communicable diseases -- Periodicals; 616.905
• DOI: 10.1093/cid/ciab872
• Languages: English
• ISSNs: 1058-4838

Abstract

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.