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ACP Journal Club |16 May 2017

Review: Interventions improve hospital antibiotic prescribing and reduce hospital stay but do not affect mortality

Daniel I. Steinberg, MD

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Davey P, Marwick CA, Scott CL, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2017;2:CD003543. 28178770

Hospitalists:

Infectious Disease:

Pulmonology:

What are the effectiveness and safety of interventions to improve antibiotic prescribing for hospital inpatients?
Included studies compared any intervention to change professional behavior to improve antibiotic prescribing for hospitalized patients with standard practice (no intervention). Interventions included audit and feedback, educational outreach, reminders, or structural changes (e.g., paper to computerized records) and were categorized as enabling (facilitating means or reducing barriers to influence targeted behavior) or restrictive (using rules to influence targeted behavior). Outcomes included antibiotic prescribing (e.g., compliance with guidelines or policies, duration of treatment), mortality, and length of stay.
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Steinberg DI. Review: Interventions improve hospital antibiotic prescribing and reduce hospital stay but do not affect mortality. Ann Intern Med. ;166:JC59. doi: 10.7326/ACPJC-2017-166-10-059

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Published: Ann Intern Med. 2017;166(10):JC59.

DOI: 10.7326/ACPJC-2017-166-10-059

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2017 American College of Physicians
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