Resource-intensive interventions and education are susceptible to a lack of long-term sustainability and regression to the mean. The respiratory culture nudge changed reporting to "Commensal Respiratory Flora only: No /MRSA or " This study demonstrated sustained reduction in broad-spectrum antibiotic duration and long-term sustainability 3 years after implementation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9614778PMC
http://dx.doi.org/10.1017/ash.2022.5DOI Listing

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