The long-term sustainability of a respiratory culture nudge

Supreet Kaur; Mary Hutton; Rachel M Kenney; Allison Weinmann; Linoj Samuel; Robert Tibbetts; Susan L Davis; Corey Medler

doi:10.1017/ash.2022.5

The long-term sustainability of a respiratory culture nudge

Antimicrob Steward Healthc Epidemiol. 2022 Jan 31;2(1):e15. doi: 10.1017/ash.2022.5. eCollection 2022.

Authors

Supreet Kaur^{1

2}, Mary Hutton³, Rachel M Kenney², Allison Weinmann⁴, Linoj Samuel⁵, Robert Tibbetts⁵, Susan L Davis^{1

2}, Corey Medler^{1

2}

Affiliations

¹ Department of Pharmacy Practice, Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, Michigan.
² Department of Pharmacy Services, Henry Ford Health System, Detroit, Michigan.
³ Department of Pharmacy, Intermountain Healthcare, Provo, Utah.
⁴ Office of Clinical Quality and Safety and Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan.
⁵ Department of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan.

Abstract

Resource-intensive interventions and education are susceptible to a lack of long-term sustainability and regression to the mean. The respiratory culture nudge changed reporting to "Commensal Respiratory Flora only: No S. aureus/MRSA or P. aeruginosa." This study demonstrated sustained reduction in broad-spectrum antibiotic duration and long-term sustainability 3 years after implementation.