Conclusions
UTI
In summary, the current study shows that providing NH clinicians with an antibiogram increases the likelihood of selecting active narrow-spectrum antibiotics when empirically treating clinically suspected UTI. These results justify further study of these tools to support antibiotic stewardship in NHs. Further understanding of which clinical and patient-level factors influence how the tools are used and how they may be optimized to address a wider breadth of clinical situations remains necessary. Guidance to improve empirical antibiotic choice is only 1 component of enhancing antibiotic use. As antibiotic prescribing combines multiple intertwining and often complex decisions, embedding antibiograms within syndrome-specific decision-support tools could combine guidance on empirical antibiotic choice with antibiotic dose and duration.