Limited impact of selective susceptibility reporting of Escherichia coli and Klebsiella isolates from concurrent blood and urine cultures

Minimal impact of selective susceptibility reporting on the use of piperacillin-tazobactam for Escherichia coli and Klebsiella bacteremia

“…These findings affirm our prior evaluation of the impact of the same selective reporting on de-escalation of PT in patients with monomicrobial bacteremia secondary to a urinary source at the same institution. 9 The strengths of this study include the relatively large cohort of patients with monomicrobial bacteremias from various of sources. Moreover, this all-inclusive study was conducted throughout a large county hospital with diverse patient and provider populations.…”

Leveraging diagnostic stewardship within antimicrobial stewardship programmes

“…100 Selective or cascade reporting of antimicrobials has also successfully altered prescribing practices for suspected UTIs. [101][102][103] Given the successful impact of these interventions, they have become recommended by experts as core urine culture diagnostic stewardship practices. 62 The most extreme form of selective reporting is to completely restrict reporting of all results from the urine culture, instead requiring clinicians to call the clinical microbiology laboratory for results if concerns for true infections persisted.…”