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Outpatient antibiotic stewardship — USMLE Step 3 MCQ

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ModeratePreventive Medicine, Epidemiology, BiostatisticsOutpatient antibiotic stewardshipUSMLE Step 3

A practice reviews antibiotic prescribing and finds that most adults with viral upper respiratory infections receive azithromycin. Clinicians say they prescribe because patients expect medication. Which of the following is the most appropriate quality improvement measure?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Audit prescribing with feedback and patient communication tools

Antibiotic stewardship interventions such as audit-feedback, decision support, and communication strategies reduce inappropriate prescribing.

Reference: CDC outpatient antibiotic stewardship guidance