Shruti K Gohil, Edward Septimus, Ken Kleinman, Neha Varma, Taliser R Avery, Lauren Heim, Risa Rahm, William S Cooper, Mandelin Cooper, Laura E McLean, Naoise G Nickolay, Robert A Weinstein, L Hayley Burgess, Micaela H Coady, Edward Rosen, Selsebil Sljivo, Kenneth E Sands, Julia Moody, Justin Vigeant, Syma Rashid, Rebecca F Gilbert, Kim N Smith, Brandon Carver, Russell E Poland, Jason Hickok, S G Sturdevant, Michael S Calderwood, Anastasiia Weiland, David W Kubiak, Sujan Reddy, Melinda M Neuhauser, Arjun Srinivasan, John A Jernigan, Mary K Hayden, Abinav Gowda, Katyuska Eibensteiner, Robert Wolf, Jonathan B Perlin, Richard Platt, Susan S Huang
IMPORTANCE: Pneumonia is the most common infection requiring hospitalization and is a major reason for overuse of extended-spectrum antibiotics. Despite low risk of multidrug-resistant organism (MDRO) infection, clinical uncertainty often drives initial antibiotic selection. Strategies to limit empiric antibiotic overuse for patients with pneumonia are needed. OBJECTIVE: To evaluate whether computerized provider order entry (CPOE) prompts providing patient- and pathogen-specific MDRO infection risk estimates could reduce empiric extended-spectrum antibiotics for non-critically ill patients admitted with pneumonia...
April 19, 2024: JAMA