Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-16T20:19:05.315Z Has data issue: false hasContentIssue false
  • English
  • Français

Unintended consequences of a reflex urine culture order set on appropriate antibiotic use

Published online by Cambridge University Press:  23 June 2020

Corinne N. Klein ,
Miriam R. Elman ,
John M. Townes ,
James S. Lewis II  and
Jessina C. McGregor Open the ORCID record for Jessina C. McGregor [Opens in a new window]
Corinne N. Klein
Affiliation:
ThedaCare Physicians, Infectious Diseases, Appleton, Wisconsin
Miriam R. Elman
Affiliation:
School of Public Health, Oregon Health & Science University–Portland State University, Portland, Oregon
John M. Townes
Affiliation:
Division of Infectious Diseases, Department of Medicine, Oregon Health & Science University, Portland, Oregon
James S. Lewis II
Affiliation:
Division of Infectious Diseases, Department of Medicine, Oregon Health & Science University, Portland, Oregon Department of Pharmacy Services, Oregon Health & Science University, Portland, Oregon Department of Pharmacy Practice, Oregon State University, Portland, Oregon
Jessina C. McGregor*
Affiliation:
School of Public Health, Oregon Health & Science University–Portland State University, Portland, Oregon Department of Pharmacy Practice, Oregon State University, Portland, Oregon
*
Author for correspondence: Jessina C. McGregor, E-mail: mcgregoj@ohsu.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

We evaluated the impact of reflex urine culture screen results on antibiotic initiation. More patients with positive urine screen but negative culture received antibiotics than those with a negative screen (30.5 vs 7.1%). Urine screen results may inappropriately influence antibiotic initiation in patients with a low likelihood of infection.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 9 , September 2020 , pp. 1090 - 1092
Check for updates
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION. Preliminary data from this research were previously presented at IDWeek 2015 on October 10, 2015, in San Diego, California.

References

Grein, JD, Kahn, KL, Eells, SJ, et al.Treatment for positive urine cultures in hospitalized adults: a survey of prevalence and risk factors in 3 medical centers. Infect Control Hosp Epidemiol 2016;37:319–326.CrossRefGoogle ScholarPubMed
Daniel, M, Keller, S, Mozafarihashjin, M, Pahwa, A, Soong, C. An implementation guide to reducing overtreatment of asymptomatic bacteriuria. JAMA Intern Med 2018;178:271–276.CrossRefGoogle ScholarPubMed
Garcia, R, Spitzer, ED. Promoting appropriate urine culture management to improve health care outcomes and the accuracy of catheter-associated urinary tract infections. Am J Infect Control 2017;45:1143–1153.10.1016/j.ajic.2017.03.006CrossRefGoogle ScholarPubMed
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;37:448–454.CrossRefGoogle ScholarPubMed