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Use of diagnostic stewardship practices to improve urine culturing among SHEA Research Network hospitals

  • Kaede V. Sullivan (a1), Daniel J. Morgan (a2) (a3) and Surbhi Leekha (a2)

Abstract

This survey investigated interventions used by acute-care hospitals to reduce the detection of asymptomatic bacteriuria. Half of the respondents reported using reflex urine cultures but with varied urinalysis criteria and perceived outcomes. Other diagnostic stewardship interventions for urine culture ordering and specimen quality were less common.

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Corresponding author

Author for correspondence: Kaede V. Sullivan, Temple University Hospital, 3401 Broad St, Room A2 F329, Philadelphia, PA 19140. E-mail: kaede.ota@tuhs.temple.edu

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Cite this article: Sullivan KV, et al. (2019). Use of diagnostic stewardship practices to improve urine culturing among SHEA Research Network hospitals. Infection Control & Hospital Epidemiology 2019, 40, 228–231. doi: 10.1017/ice.2018.325

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References

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1. Nicolle, LE, Bradley, S, Colgan, R, Rice, JC, Schaeffer, A, Hooton, TM. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005;40:643654.
2. Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) and other urinary system infection [USI] events. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. Accessed August 22, 2018.
3. Keller, SC, Feldman, L, Smith, J, Pahwa, A, Costrove, SE, Chida, N. The use of clinical decision support in reducing diagnosis of and treatment of asymptomatic bacteriuria. J Hosp Med 2018;13:392395.
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5. Sarg, M, Waldrop, GE, Beier, MA, et al. Impact of changes in urine culture ordering practice on antimicrobial utilization in intensive care units at an academic medical center. Infect Control Hosp Epidemiol 2016;37:448454.
6. Dietz, J, Lo, TS, Hammer, K, Zegarra, M. Impact of eliminating reflex urine cultures on performed urine cultures and antibiotic use. Am J Infect Control 2016;44:17501751.
7. 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;160:673677.
8. Stovall, 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;217:162166.
9. Chan, WW. Section 3.12: Urine cultures. In: Amy Leber, ed. Clinical Microbiology Procedures Handbook, 4th ed. Washington, DC: ASM Press, 2016.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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