A little nudge goes a long way: assessing the impact of a microbiology nudge comment on narrow-spectrum antibiotic use in uncomplicated Streptococcus pneumoniae bloodstream infections

Key Points

• A significant increase in de-escalation to narrow-spectrum antibiotics was observed following the intervention.
• The odds of prescribing narrow-spectrum antibiotics increased by 4.66 times after implementing the microbiology comment.
• The study analyzed narrow-spectrum antibiotic use before and after the intervention with the microbiology comment.
• Results may indicate that simple prompts can enhance appropriate antibiotic use, but further validation is needed.