Nationally, 50% of hospitalized patients receive an antibiotic during their hospital stay, and up to 50% of this antibiotic use is inappropriate. The most common cause of inappropriate antibiotic use is a longer than necessary duration. Overuse of antibiotics has detrimental consequences including increased rates of antimicrobial resistance and adverse effects including C. difficile infections.
We are working with a multidisciplinary team to test ways to use nudges within the electronic health record to align antibiotic use in the inpatient setting with national guidelines. We will begin by targeting antibiotics used to treat pneumonia.
This project is currently in progress.
Antimicrobial Stewardship Team, Hospital of University of Pennsylvania