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Improved empiric antibiotic prescribing for acute cystitis with use of local urinary antibiogram and clinical decision support system

Published online by Cambridge University Press:  19 August 2020

Christopher J. Shoff*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina
Mary L. Townsend
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Infectious Diseases Section, Medicine Service, Durham Veterans’ Affairs Health Care System, Durham, North Carolina
L. Gayani Tillekeratne
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Infectious Diseases Section, Medicine Service, Durham Veterans’ Affairs Health Care System, Durham, North Carolina
Ryan D. Schulteis
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Infectious Diseases Section, Medicine Service, Durham Veterans’ Affairs Health Care System, Durham, North Carolina
Michael E. Yarrington
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina
Nicholas A. Turner
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina
Christopher W. Woods
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Infectious Diseases Section, Medicine Service, Durham Veterans’ Affairs Health Care System, Durham, North Carolina
Christopher J. Hostler
Affiliation:
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina Infectious Diseases Section, Medicine Service, Durham Veterans’ Affairs Health Care System, Durham, North Carolina
*
Author for correspondence: Christopher J. Shoff, E-mail: christopher.shoff@duke.edu

Abstract

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Type
Research Brief
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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Footnotes

PREVIOUS PRESENTATION: A preliminary version of this work was accepted for presentation at the European Congress of Clinical Microbiology and Infectious Disease on April 19, 2020, in Paris, France.

References

Gupta, K, Hooton, TM, Naber, KG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis 2011;52(5):e103e120.10.1093/cid/ciq257CrossRefGoogle Scholar
Marsh, KJ, Mundy, L, Holter, JJ, Johnson, JR. Analysis of urine-specific antibiograms from veterans to guide empiric therapy for suspected urinary tract infection. Diagn Microbiol Infect Dis 2019;95:114874.10.1016/j.diagmicrobio.2019.114874CrossRefGoogle ScholarPubMed
Hecker, MT, Fox, CJ, Son, AH, et al. Effect of a stewardship intervention on adherence to uncomplicated cystitis and pyelonephritis guidelines in an emergency department setting. PLoS One 2014;9(2):e87899.10.1371/journal.pone.0087899CrossRefGoogle Scholar
Patros, C, Sabol, M, Paniagua, A, Lans, D. Implementation and evaluation of an algorithm-based order set for the outpatient treatment of urinary tract infections in the spinal cord injury population in a VA Medical Center. J Spinal Cord Med 2018;41:192198.10.1080/10790268.2017.1324355CrossRefGoogle Scholar
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