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Using Probability of Community-Acquired Pneumonia to Tailor Antimicrobials Among Inpatients
Sponsor: Jonathan Baghdadi
Summary
The goal of this prospective randomized study is to improve antibiotic use among hospitalized patients with suspected pneumonia. An alert was built into the electronic health record to guide use of diagnostic testing based on probability of bacterial pneumonia. Patients with test results suggesting viral infection will be randomized to either: (1) receive a structured communication from the antimicrobial stewardship team to de-escalate antibiotics or (2) usual care.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
107
Start Date
2023-11-01
Completion Date
2025-05-31
Last Updated
2026-04-14
Healthy Volunteers
No
Interventions
Electronic alert
An alert will appear in the electronic health record that provides options for diagnostic testing based on low, medium, or high probability of bacterial pneumonia.
Structured communication of test results
A clinical research team member will send an electronic message to the primary care team on behalf of the antimicrobial stewardship program with structured guidance to stop or de-escalate antibiotics and document these recommendations in the patient's chart.
Locations (2)
University of Maryland Medical Center - Midtown Campus
Baltimore, Maryland, United States
University of Maryland Medical Center
Baltimore, Maryland, United States