2015
DOI: 10.1001/jamainternmed.2015.1878
|View full text |Cite
|
Sign up to set email alerts
|

Abstract: IMPORTANCE Overtreatment of asymptomatic bacteriuria (ASB) in patients with urinary catheters remains high. Health care professionals have difficulty differentiating cases of ASB from catheter-associated urinary tract infections.OBJECTIVES To evaluate the effectiveness and sustainability of an intervention to reduce urine culture ordering and antimicrobial prescribing for catheter-associated ASB compared with standard quality improvement methods. DESIGN, SETTING, AND PARTICIPANTSA preintervention and postinter… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

2
178
0

Year Published

2016
2016
2021
2021

Publication Types

Select...
9

Relationship

2
7

Authors

Journals

citations
Cited by 166 publications
(180 citation statements)
references
References 39 publications
2
178
0
Order By: Relevance
“…This would also have the potential to improve antibiotic stewardship by reducing catheter-associated urinary tract infections and asymptomatic bacteriuria. 28 …”
Section: Discussionmentioning
confidence: 99%
“…This would also have the potential to improve antibiotic stewardship by reducing catheter-associated urinary tract infections and asymptomatic bacteriuria. 28 …”
Section: Discussionmentioning
confidence: 99%
“…For example, in LTC settings, the results of urine cultures, rather than clinical symptoms, often spurs unnecessary antibiotic use [37]. Educating and coaching LTC clinical staff about appropriate indications for ordering urine studies, reduces unnecessary antibiotic use for catheterized residents [38]. Incorporating the revised McGeer (Stone) criteria into an antibiotic use protocol that describes indications for ordering diagnostic studies may help support overall antibiotic stewardship efforts.…”
Section: Antibiotic Use Protocolsmentioning
confidence: 99%
“…The best example of this is CAUTI. Many institutions have reported success in CAUTI reduction via approaches that have the effect of reducing the number of urine cultures ordered or performed (13)(14)(15). In some cases the interventions include application of guideline-driven culture practices (13,15), while in other cases reflex testing involves culturing urine only if evidence of inflammation is found upon urinalysis (UA) (14).…”
Section: Unintended Consequences For Cmlsmentioning
confidence: 99%
“…Many institutions have reported success in CAUTI reduction via approaches that have the effect of reducing the number of urine cultures ordered or performed (13)(14)(15). In some cases the interventions include application of guideline-driven culture practices (13,15), while in other cases reflex testing involves culturing urine only if evidence of inflammation is found upon urinalysis (UA) (14). Because most positive urine cultures in catheterized patients represent catheter-associated asymptomatic bacteriuria (CA-ASB) and not CAUTI, because most CA-ASB does not progress to CAUTI (16), and because there are so many other causes of fever in hospitalized patients, reducing urine culture ordering in catheterized inpatients is a laudable goal and can both reduce the NHSN-defined CAUTI rate and reduce unnecessary antibiotic use (14,15).…”
Section: Unintended Consequences For Cmlsmentioning
confidence: 99%