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Implementing Change Through an Outpatient Antibiotic Stewardship Program

October 18, 2024

Department of Urology and Urology Health Services Research Division faculty published a study online ahead of print in Urology Practice to examine the implementation of a multipronged behavioral intervention to reduce and tailor antibiotic use for two common urologic outpatient procedures.

Th team examined antibiotic use for cystoscopy and transrectal prostate biopsy at three separate urologic outpatient clinics. A multipronged behavioral intervention consisted of formal physician education, modification of the electronic health order sets, clinic staff education, literature review, development and introduction of patient questionnaires, and individual audit feedback.1

The study ultimately found that "implementing a multipronged behavioral intervention reduced and tailored antibiotic use without an increase in 30-day infections. These findings suggest that outpatient antibiotic stewardship and facilitating rapid adoption of guidelines can be accomplished via this approach."1

View the full study.

Reference

1. Pekala KR, Sharbaugh D, Yabes JG, Sharbaugh AJ, Yu M, Grajales V, Orikogbo O, Worku H, Hay JM, Zhu TS, Armann KM, Hudson CN, Clarke L, Shields RK, Davies BJ, Jacobs BL. Implementing Change Through an Outpatient Antibiotic Stewardship Program. Urol Pract. 2024 Sep 12:101097UPJ0000000000000707. doi: 10.1097/UPJ.0000000000000707. Epub ahead of print. PMID: 39264249.