Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study.
نویسندگان
چکیده
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.
منابع مشابه
Special Section: Aging and Infection
Urinary tract infection is the most frequent bacterial infection in residents of long-term–care facilities. Most infections are asymptomatic, with a remarkable prevalence of asymptomatic bacteriuria of 15%–50% among all residents. The major reasons for this high prevalence are chronic comorbid illnesses with neurogenic bladder and interventions to manage incontinence. Prospective, randomized, c...
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1. Chironda B, Clancy S, Powis JE. Optimizing urine culture collection in the emergency department using frontline ownership interventions. Clin Infect Dis 2014; 59: 1038–9. 2. Loeb M, Brazil K, Lohfeld L, et al. Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: cluster randomized controlled trial...
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TO THE EDITOR—The recent article by Leis et al, “Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study” [1], reveals a novel way to manage the problem of unnecessary urine collection. However, this laboratory-based solution proposed by Leis et al does not address the complex behaviors leading to the unnecessary urine collection. I...
متن کاملAntimicrobial treatment of asymptomatic bacteriuria in noncatheterized adults: a systematic review.
Asymptomatic bacteriuria (ASB) is a common clinical finding characterized by the presence of bacteria in the urine of an individual without signs or symptoms suggestive of urinary tract infection. Despite available guidelines on the diagnosis and management of ASB, it is often managed inappropriately. We performed a systematic review of clinical trials evaluating antimicrobial therapy for ASB, ...
متن کاملReduction of urinary catheter use and prescription of antibiotics for asymptomatic bacteriuria in hospitalised patients in internal medicine: before-and-after intervention study.
PRINCIPLES Unnecessary treatment of asymptomatic bacteriuria and overuse of urinary catheters in hospitals are of concern regarding antimicrobial resistance and patient safety, respectively. We investigated the effectiveness of a multifaceted intervention in reducing urinary catheter use and unnecessary prescription of antibiotics for asymptomatic bacteriuria in hospitalised patients in a clini...
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ورودعنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 58 7 شماره
صفحات -
تاریخ انتشار 2014