Expected Practice as a Novel Antibiotic Stewardship Intervention

Kabir Yadav; Eriko Masuda; Emi Minejima; Brad Spellberg

doi:10.1093/ofid/ofy319

Expected Practice as a Novel Antibiotic Stewardship Intervention

Open Forum Infect Dis. 2018 Dec 3;6(1):ofy319. doi: 10.1093/ofid/ofy319. eCollection 2019 Jan.

Authors

Kabir Yadav^{1

2}, Eriko Masuda^{3

4}, Emi Minejima^{3

5}, Brad Spellberg^{3

4}

Affiliations

¹ Department of Emergency Medicine, Harbor-University of California Los Angeles (UCLA) Medical Center, Los Angeles, CA.
² Los Angeles Biomedical Research Institute, Los Angeles, CA.
³ Los Angeles County + University of Southern California (USC) Medical Center, Los Angeles, CA.
⁴ Department of Medicine, Keck School of Medicine at USC, Los Angeles, CA.
⁵ University of Southern California School of Pharmacy, Los Angeles, CA.

Abstract

"Expected practice" is a recently described method to alter clinical behavior. We implemented an expected practice around short-course antibiotic therapy, which was associated with decreased antibiotic utilization for multiple bacterial infections. Thus, we describe this expected practice as a novel, simple, and inexpensive tool to enhance antibiotic stewardship.

Keywords: antibiotic stewardship; expected practice; quality improvement.

Grants and funding

UL1 TR001881/TR/NCATS NIH HHS/United States