Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-05-10T19:08:47.888Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluation of a Novel Intervention to Reduce Unnecessary Urine Cultures in Intensive Care Units at a Tertiary Care Hospital in Maryland, 2011–2014

Published online by Cambridge University Press:  02 February 2016

Lauren Epstein ,
Jonathan R. Edwards ,
Alison Laufer Halpin ,
Michael Anne Preas ,
David Blythe ,
Anthony D. Harris ,
David Hunt ,
J. Kristie Johnson ,
Mala Filippell  and
Carolyn V. Gould
...Show all authors
Lauren Epstein*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia
Jonathan R. Edwards
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Alison Laufer Halpin
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Michael Anne Preas
Affiliation:
University of Maryland Medical Center, Baltimore, Maryland
David Blythe
Affiliation:
Maryland Department of Health and Mental Hygiene, Baltimore, Maryland
Anthony D. Harris
Affiliation:
University of Maryland School of Medicine, Baltimore, Maryland.
David Hunt
Affiliation:
University of Maryland Medical Center, Baltimore, Maryland
J. Kristie Johnson
Affiliation:
University of Maryland School of Medicine, Baltimore, Maryland.
Mala Filippell
Affiliation:
University of Maryland Medical Center, Baltimore, Maryland
Carolyn V. Gould
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Surbhi Leekha
Affiliation:
University of Maryland School of Medicine, Baltimore, Maryland.
*
Address correspondence to Lauren Epstein, MD, MSc, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mailstop A-24, Atlanta, GA 30333 (Xdd0@cdc.gov).
Get access Rights & Permissions [Opens in a new window]

Abstract

We assessed the impact of a reflex urine culture protocol, an intervention aimed to reduce unnecessary urine culturing, in intensive care units at a tertiary care hospital. Significant decreases in urine culturing rates and reported rates of catheter-associated urinary tract infection followed implementation of the protocol.

Infect Control Hosp Epidemiol 2016;37:606–609

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 5 , May 2016 , pp. 606 - 609
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented in part: IDWeek 2014; Philadelphia, Pennsylvania; October 10, 2014 (Abstract 1231).

References

REFERENCES

1. National Healthcare Safety Network (NHSN) overview: CAUTIs. US Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/pdfs/pscManual/7pscCAUTIcurrent.pdf. Published January 2015. Accessed November 12, 2015.Google Scholar
2. Lo, E, Nicolle, LE, Coffin, SE, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:S32–S47.Google Scholar
3. Tambyah, PA, Maki, DG. Catheter-associated urinary tract infection is rarely symptomatic: a prospective study of 1,497 catheterized patients. Arch Intern Med 2000;160:678–682.Google Scholar
4. Tambyah, PA, Maki, DG. The relationship between pyuria and infection in patients with indwelling urinary catheters: a prospective study of 761 patients. Arch Intern Med 2000;160:673–677.CrossRefGoogle ScholarPubMed
5. Cope, M, Cevallos, ME, Cadle, RM, Darouiche, RO, Musher, DM, Trautner, BW. Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital. Clin Infect Dis 2009;48:1182–1188.Google Scholar
6. On the CUSP: stop HAI. National implementation of the Comprehensive Unit-based Safety Program to eliminate health care-associated infections. http://www.onthecuspstophai.org/on-the-cuspstop-bsi/about-the-project/. Published 2014. Accessed February 26, 2015.Google Scholar
7. Stoval, RT, Haenal, JB, Jenkins, TC, et al. A negative urinalysis rules out catheter-associated urinary tract infection in trauma patients in the intensive care unit. J Am Coll Surg 2013;217:162–166.Google Scholar
8. Burd, EM, Kehl, KS. A critical appraisal of the role of the clinical microbiology laboratory in the diagnosis of urinary tract infection. J Clin Microbiol 2011;48:S34–S38.Google Scholar