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Antibiotic stewardship — USMLE Step 3 MCQ

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ModerateEthics, Patient Safety, Quality Improvement, Systems-Based PracticeAntibiotic stewardshipUSMLE Step 3

A clinic audit shows most adults with uncomplicated acute bronchitis receive azithromycin despite normal vital signs, clear lungs, and no COPD. Patient satisfaction scores are high. Which of the following is the most appropriate quality improvement measure?

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Correct answer: B — Implement audit-and-feedback with decision support for guideline-concordant antibiotic prescribing

Antibiotic stewardship interventions such as audit-and-feedback and decision support reduce inappropriate antibiotic prescribing for viral respiratory infections.

Reference: CDC Core Elements of Outpatient Antibiotic Stewardship