Which of the following antimicrobial stewardship interventions would have the most favorable impact in the ambulatory care setting?

  • Require an ID consult for all broad spectrum antibiotics (16%, 10 Votes)
  • Have PCN skin testing readily available, on-demand (36%, 22 Votes)
  • Turn-off PCN allergy alerts for cephalosporin Rxs (8%, 5 Votes)
  • Automatic review of all antibiotic orders with duration >5 days (40%, 24 Votes)

Total Voters: 61

Start Date: October 13, 2021 @ 10:40 AM
End Date: November 17, 2021 @ 5:29 AM

CASE: 56 year old male on prasugrel and aspirin after PCI. Hx of DM type 2, HTN, dyslipidemia, and ACS. Can't afford multiple branded drugs. Which of the following would you recommend?

  • Switch prasugrel to clopidogrel (59%, 46 Votes)
  • Switch to clopidogel then test platelet fnx (4%, 3 Votes)
  • Test for CYP2C19*2 / *3 alleles -> clopidogrel if absent (29%, 23 Votes)
  • Continue prasugrel / no tests are warranted (8%, 6 Votes)

Total Voters: 78

Start Date: September 7, 2021 @ 3:15 PM
End Date: October 13, 2021 @ 10:45 AM

CASE: 59 yr old woman complains of poor sleep quality; difficulty falling and staying asleep. Does not snore. Wants nature remedy. In addition to good sleep hygiene, which would you recommend?

  • Chamomille tea (14%, 15 Votes)
  • Melatonin (81%, 89 Votes)
  • Passionflower tea (3%, 3 Votes)
  • Saffron (2%, 3 Votes)

Total Voters: 110

Start Date: August 10, 2021 @ 6:11 PM
End Date: September 7, 2021 @ 3:15 PM

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