Literature DB >> 24577290

Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study.

Jerome A Leis1, Gabriel W Rebick, Nick Daneman, Wayne L Gold, Susan M Poutanen, Pauline Lo, Michael Larocque, Kaveh G Shojania, Allison McGeer.   

Abstract

This proof-of-concept study demonstrates that no longer routinely reporting urine culture results from noncatheterized medical and surgical inpatients can greatly reduce unnecessary antimicrobial therapy for asymptomatic bacteriuria without significant additional laboratory workload. Larger studies are needed to confirm the generalizability, safety, and sustainability of this model of care.

Entities:  

Keywords:  antimicrobial stewardship; asymptomatic bacteriuria; urine culture

Mesh：

Substances：

Year:  2014        PMID： 24577290     DOI： 10.1093/cid/ciu010

Source DB:  PubMed          Journal:  Clin Infect Dis        ISSN： 1058-4838            Impact factor:   9.079


  35 in total

Review 1.  The emerging threat of multidrug-resistant Gram-negative bacteria in urology.

Authors:  Hosam M Zowawi; Patrick N A Harris; Matthew J Roberts; Paul A Tambyah; Mark A Schembri; M Diletta Pezzani; Deborah A Williamson; David L Paterson
Journal:  Nat Rev Urol       Date:  2015-09-01       Impact factor: 14.432

Review 2.  [Management of multiresistant bacteria in urology].

Authors:  W Vahlensieck; R Rudolph; H-J Knopf; U Dahl; W Fabry
Journal:  Urologe A       Date:  2017-06       Impact factor: 0.639

Review 3.  Clinical microbiology informatics.

Authors:  Daniel D Rhoads; Vitali Sintchenko; Carol A Rauch; Liron Pantanowitz
Journal:  Clin Microbiol Rev       Date:  2014-10       Impact factor: 26.132

4.  Prosthetic joint replacement: should orthopedists check urine because it's there?

Authors:  Robert A Duncan
Journal:  Clin Infect Dis       Date:  2014-04-09       Impact factor: 9.079

5.  The assessment and management of urinary tract infections in adults: Guidelines for pharmacists.

Authors:  Nathan P Beahm; Lindsay E Nicolle; Alistair Bursey; Daniel J Smyth; Ross T Tsuyuki
Journal:  Can Pharm J (Ott)       Date:  2017-07-31

6.  Association of Screening and Treatment for Preoperative Asymptomatic Bacteriuria With Postoperative Outcomes Among US Veterans.

Authors:  Jaime Gallegos Salazar; William O'Brien; Judith M Strymish; Kamal Itani; Westyn Branch-Elliman; Kalpana Gupta
Journal:  JAMA Surg       Date:  2019-03-01       Impact factor: 14.766

7.  Point-Counterpoint: Reflex Cultures Reduce Laboratory Workload and Improve Antimicrobial Stewardship in Patients Suspected of Having Urinary Tract Infections.

Authors:  Romney M Humphries; Jennifer Dien Bard
Journal:  J Clin Microbiol       Date:  2015-12-09       Impact factor: 5.948

Review 8.  Cognitive bias: how understanding its impact on antibiotic prescribing decisions can help advance antimicrobial stewardship.

Authors:  Bradley J Langford; Nick Daneman; Valerie Leung; Dale J Langford
Journal:  JAC Antimicrob Resist       Date:  2020-12-21

9.  How Testing Drives Treatment in Asymptomatic Patients: Level of Pyuria Directly Predicts Probability of Antimicrobial Prescribing.

Authors:  Kalpana Gupta; William O'Brien; Jaime Gallegos-Salazar; Judith Strymish; Westyn Branch-Elliman
Journal:  Clin Infect Dis       Date:  2020-07-27       Impact factor: 9.079

10.  Overtreatment of Asymptomatic Candiduria among Hospitalized Patients: a Multi-institutional Study.

Authors:  David M Jacobs; Thomas J Dilworth; Nicholas D Beyda; Anthony M Casapao; Dana R Bowers
Journal:  Antimicrob Agents Chemother       Date:  2017-12-21       Impact factor: 5.191
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