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Antibiotic stewardship — USMLE Step 3 MCQ

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HardPreventive Medicine, Epidemiology, BiostatisticsAntibiotic stewardshipUSMLE Step 3

A clinic audit shows that many adults with uncomplicated viral bronchitis receive azithromycin. Clinicians cite patient expectation and time pressure. Local resistance rates are increasing. 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: C — Use audit-feedback with decision support and patient education scripts

Antibiotic stewardship uses decision support, audit-feedback, and communication strategies to reduce inappropriate prescribing.

Reference: CDC outpatient antibiotic stewardship: https://www.cdc.gov/antibiotic-use/