Developing Interactive Antimicrobial Stewardship and Infection Prevention Curricula for Diverse Learners: A Tailored Approach

Nori, Priya; Madaline, Theresa; Munjal, Iona; Bhar, Shubha; Guo, Yi; Seo, Susan K.; Porrovecchio, Andrea; Gancher, Elizabeth; Nosanchuk, Joshua; Pirofski, Liise-anne; Ostrowsky, Belinda

Before the first lecture, we distributed an antibiotic pretest with 3 multiple-choice questions on common clinical scenarios designed to assess baseline prescribing knowledge. House staff inpatient antibiotic prescriptions were obtained from queries of the pharmacy's electronic database from November 2012 to September 2014. Antibiotic regimens recommended by consulting services (ie, ID, critical care medicine) were excluded from review, as were antiretroviral and antifungal prescriptions, because these often involved ID comanagement. Appropriateness of prescriptions was scored using 3 criteria. (1) Were antibiotics indicated for a "true infection" (no alternative noninfectious primary diagnosis)? (2) Did the "selected regimen" cover the infection and pathogens in question? (3) Were antibiotic "dose" and "duration" appropriate?