Literature DB >> 25782904

Overtreatment of asymptomatic bacteriuria: identifying targets for improvement.

Sarah Hartley1, Staci Valley1, Latoya Kuhn2, Laraine L Washer1, Tejal Gandhi1, Jennifer Meddings1, Carol Chenoweth1, Anurag N Malani3, Sanjay Saint1, Arjun Srinivasan4, Scott A Flanders1.   

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.

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Year:  2015        PMID: 25782904     DOI: 10.1017/ice.2014.73

Source DB:  PubMed          Journal:  Infect Control Hosp Epidemiol        ISSN: 0899-823X            Impact factor:   3.254


  12 in total

Review 1.  The etiology and management of recurrent urinary tract infections in postmenopausal women.

Authors:  Carrie Jung; Linda Brubaker
Journal:  Climacteric       Date:  2019-01-09       Impact factor: 3.005

2.  Infections in the older population: what do we know?

Authors:  Didier Schoevaerdts; François-Xavier Sibille; Gaetan Gavazzi
Journal:  Aging Clin Exp Res       Date:  2019-10-26       Impact factor: 3.636

3.  Evaluating the Impact of a Urinalysis to Reflex Culture Process Change in the Emergency Department at a Veterans Affairs Hospital.

Authors:  Ursula C Patel; Georgiana Ismail; Katie J Suda; Rabeeya Sabzwari; Susan M Pacheco; Sudha Bhoopalam
Journal:  Fed Pract       Date:  2022-02-12

4.  Burning for Treatment: Impact of Staff Education on Asymptomatic Bacteriuria Management in the Elderly.

Authors:  Casara Hong; Gregory Egan; Byron Sherk
Journal:  Can Geriatr J       Date:  2020-09-01

5.  No need for a urine culture in elderly hospitalized patients with a negative dipstick test result.

Authors:  Zvi Shimoni; Vered Hermush; Joseph Glick; Paul Froom
Journal:  Eur J Clin Microbiol Infect Dis       Date:  2018-05-18       Impact factor: 3.267

6.  Effect of changing urine testing orderables and clinician order sets on inpatient urine culture testing: Analysis from a large academic medical center.

Authors:  Satish Munigala; Rebecca Rojek; Helen Wood; Melanie L Yarbrough; Ronald R Jackups; Carey-Ann D Burnham; David K Warren
Journal:  Infect Control Hosp Epidemiol       Date:  2019-02-21       Impact factor: 3.254

7.  Inappropriate Management of Asymptomatic Patients With Positive Urine Cultures: A Systematic Review and Meta-analysis.

Authors:  Myrto Eleni Flokas; Nikolaos Andreatos; Michail Alevizakos; Alireza Kalbasi; Pelin Onur; Eleftherios Mylonakis
Journal:  Open Forum Infect Dis       Date:  2017-11-20       Impact factor: 3.835

8.  The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing - a systematic literature review.

Authors:  Sean Mayne; Alexander Bowden; Pär-Daniel Sundvall; Ronny Gunnarsson
Journal:  BMC Geriatr       Date:  2019-02-04       Impact factor: 3.921

9.  Assessment of Testing and Treatment of Asymptomatic Bacteriuria Initiated in the Emergency Department.

Authors:  Lindsay A Petty; Valerie M Vaughn; Scott A Flanders; Twisha Patel; Anurag N Malani; David Ratz; Keith S Kaye; Jason M Pogue; Lisa E Dumkow; Rama Thyagarajan; Lama M Hsaiky; Danielle Osterholzer; Steven L Kronick; Elizabeth McLaughlin; Tejal N Gandhi
Journal:  Open Forum Infect Dis       Date:  2020-11-03       Impact factor: 3.835

10.  Reducing unnecessary culturing: a systems approach to evaluating urine culture ordering and collection practices among nurses in two acute care settings.

Authors:  Robert Redwood; Mary Jo Knobloch; Daniela C Pellegrini; Matthew J Ziegler; Michael Pulia; Nasia Safdar
Journal:  Antimicrob Resist Infect Control       Date:  2018-01-08       Impact factor: 4.887

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