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How to change the course: practical aspects of implementing shorter is better
Fernando Dominguez1, Neil Gaffin2, Kusha Davar1
1Los Angeles County + University of Southern California Medical Center, Los Angeles, CA, USA.
Summary
Shorter antibiotic courses are as effective as longer ones for many infections. Implementing a four-component strategy, including stewardship and education, successfully reduced antibiotic duration and use.
Area of Science:
- Infectious Diseases
- Antimicrobial Stewardship
- Public Health
Background:
- Randomized controlled trials demonstrate shorter antibiotic courses are effective for numerous infections.
- Despite evidence, prolonged antibiotic durations remain common in clinical practice.
Purpose of the Study:
- To outline a four-component strategy for implementing shorter antibiotic courses in healthcare settings.
- To detail practical steps for changing antibiotic prescribing habits in academic and community hospitals.
Main Methods:
- Review of clinical trials and peer-reviewed publications.
- Description of a four-component implementation strategy: consensus documents, stewardship support, provider education, and behavioral reinforcement.
Main Results:
- Successful implementation of shorter antibiotic courses in diverse practice settings.
- Demonstrated decrease in overall antibiotic use through the described strategy.
Conclusions:
- Targeted antibiotic stewardship programs can effectively reduce antibiotic therapy duration.
- Shorter antibiotic courses benefit individual patients and society by combating antimicrobial resistance and reducing healthcare costs.
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