Literature DB >> 35445218

Investigating Risk Factors for Urine Culture Contamination in Outpatient Clinics: A New Avenue for Diagnostic Stewardship.

Patrick Whelan1, Alicia Nelson2, Christopher J Kim1, Christian Tabib1, Glenn Preminger1, Nicholas A Turner2,3, Michael Lipkin1, Sonali D Advani2,3.   

Abstract

Mixed flora in urine cultures usually occur due to pre-analytic contamination. In our outpatient urology clinic, we found a high prevalence of mixed flora (46.2%), which was associated with female sex and older age. Patient education did not impact the rate of mixed flora. Future efforts should target high-risk patients.

Entities:  

Keywords:  Mixed flora; Mixed urine cultures; antibiotic stewardship; pre-analytic contamination; urine collection; urine testing

Year:  2022        PMID： 35445218      PMCID： PMC9016366          DOI： 10.1017/ash.2021.260

Source DB:  PubMed          Journal:  Antimicrob Steward Healthc Epidemiol        ISSN： 2732-494X


  10 in total

1.  Use of a midstream clean catch mobile application did not lower urine contamination rates in an ED.

Authors:  Mary S Jacob; Paige Kulie; Cameron Benedict; Alexander J Ordoobadi; Neal Sikka; Erika Steinmetz; Melissa L McCarthy
Journal:  Am J Emerg Med       Date:  2017-07-08       Impact factor: 2.469

2.  Abnormal urinalysis results are common, regardless of specimen collection technique, in women without urinary tract infections.

Authors:  Bradley W Frazee; Kayla Enriquez; Valerie Ng; Harrison Alter
Journal:  J Emerg Med       Date:  2015-04-01       Impact factor: 1.484

3.  Diagnosis of urinary tract infections: need for a reflective rather than reflexive approach.

Authors:  Mohamad G Fakih; Sonali D Advani; Valerie M Vaughn
Journal:  Infect Control Hosp Epidemiol       Date:  2019-04-29       Impact factor: 3.254

4.  The Effect of Written Posted Instructions on Collection of Clean-Catch Urine Specimens in the Emergency Department.

Authors:  Patrick Joseph Maher; Alisha Emily Cutler Brown; Medley O'Keefe Gatewood
Journal:  J Emerg Med       Date:  2016-11-01       Impact factor: 1.484

5.  Contamination in Adult Midstream Clean-Catch Urine Cultures in the Emergency Department: A Randomized Controlled Trial.

Authors:  Mary E Lough; Edward Shradar; Chuyun Hsieh; Haley Hedlin
Journal:  J Emerg Nurs       Date:  2019-09       Impact factor: 1.836

6.  The influence of contaminated urine cultures in inpatient and emergency department settings.

Authors:  Benjamin T Klausing; Stacey D Tillman; Patty W Wright; Thomas R Talbot
Journal:  Am J Infect Control       Date:  2016-06-13       Impact factor: 2.918

7.  A prospective study to assess the association of body mass index and contamination of urinalysis samples.

Authors:  Matt Strawn; K Tom Xu; Michael Brodeur; Guy Youngblood; Peter Richman
Journal:  Am J Emerg Med       Date:  2019-05-17       Impact factor: 2.469

8.  Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART II.

Authors:  Dean Assimos; Amy Krambeck; Nicole L Miller; Manoj Monga; M Hassan Murad; Caleb P Nelson; Kenneth T Pace; Vernon M Pais; Margaret S Pearle; Glenn M Preminger; Hassan Razvi; Ojas Shah; Brian R Matlaga
Journal:  J Urol       Date:  2016-05-27       Impact factor: 7.450

9.  Do Mixed-Flora Preoperative Urine Cultures Matter?

Authors:  Michael R Polin; Amie Kawasaki; Cindy L Amundsen; Alison C Weidner; Nazema Y Siddiqui
Journal:  South Med J       Date:  2017-06       Impact factor: 0.954

10.  Effectiveness of Preanalytic Practices on Contamination and Diagnostic Accuracy of Urine Cultures: a Laboratory Medicine Best Practices Systematic Review and Meta-analysis.

Authors:  Mark T LaRocco; Jacob Franek; Elizabeth K Leibach; Alice S Weissfeld; Colleen S Kraft; Robert L Sautter; Vickie Baselski; Debra Rodahl; Edward J Peterson; Nancy E Cornish
Journal:  Clin Microbiol Rev       Date:  2016-01       Impact factor: 26.132
  10 in total

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