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Overtreatment of Asymptomatic Bacteriuria: Identifying Targets for Improvement

Published online by Cambridge University Press:  05 January 2015

Sarah Hartley ,
Staci Valley ,
Latoya Kuhn ,
Laraine L. Washer ,
Tejal Gandhi ,
Jennifer Meddings ,
Carol Chenoweth ,
Anurag N. Malani ,
Sanjay Saint  and
Arjun Srinivasan
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Sarah Hartley*
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
Staci Valley
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
Latoya Kuhn
Affiliation:
Patient Safety Enhancement Program and Hospital Outcomes Program of Excellence of the Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan
Laraine L. Washer
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan Department of Infection Control and Epidemiology, University of Michigan, Ann Arbor, Michigan
Tejal Gandhi
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
Jennifer Meddings
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
Carol Chenoweth
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
Anurag N. Malani
Affiliation:
St. Joseph Mercy Hospital, Ann Arbor, Michigan
Sanjay Saint
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan Patient Safety Enhancement Program and Hospital Outcomes Program of Excellence of the Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan
Arjun Srinivasan
Affiliation:
Healthcare Associated Infection Prevention Programs in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention, Atlanta, Georgia.
Scott A. Flanders
Affiliation:
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
*
Address correspondence to Sarah E. Hartley, MD, Clinical Assistant Professor, University of Michigan Health System, 1500 E Medical Center Drive, SPC 5736, Ann Arbor, Michigan 48109 (hartsara@med.umich.edu).
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Abstract

Treatment of asymptomatic bacteriuria contributes to antimicrobial overuse in hospitalized patients. Indications for urine culture, treatment, and targets for improvement were evaluated in 153 patients. Drivers of antimicrobial overuse included fever with an alternative source, altered mental status, and leukocytosis, which led 435 excess days of antimicrobial therapy.

Infect Control Hosp Epidemiol 2014;00(0): 1–4

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 36 , Issue 4 , April 2015 , pp. 470 - 473
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

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