ArticleJournal of community hospital internal medicine perspectives2012
Preventing the inappropriate treatment of asymptomatic bacteriuria at a community teaching hospital.
Article in Journal of community hospital internal medicine perspectives, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 39 citations in OpenAlex.
- Effect of automated identification of antimicrobial stewardship opportunities for suspected urinary tract infections.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Implementation of an asymptomatic bacteriuria assessment protocol for patients discharged from the emergency department.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications for Hospitalized Patients in 2021.Open forum infectious diseases · 2022Review
- Sustained impact of an antibiotic stewardship initiative targeting asymptomatic bacteriuria and pyuria in the emergency department.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Evaluation of asymptomatic bacteruria management before and after antimicrobial stewardship program implementation: retrospective study.BMC infectious diseases · 2021Article
- Assessment of Testing and Treatment of Asymptomatic Bacteriuria Initiated in the Emergency Department.Open forum infectious diseases · 2020Article
- Effect of changing urine testing orderables and clinician order sets on inpatient urine culture testing: Analysis from a large academic medical center.Infection control and hospital epidemiology · 2019Article
- Optimization of antibiotic selection in the emergency department for urine culture follow ups, a retrospective pre-post intervention study: clinical pharmacist efforts.Journal of pharmaceutical policy and practice · 2019Article
- Resident Physician Knowledge of Urine Testing and Treatment Over Four Years.Infection control and hospital epidemiology · 2018Article
- Educational intervention to reduce treatment of asymptomatic bacteriuria in long-term care.BMJ open quality · 2018Article
- Inappropriate Management of Asymptomatic Patients With Positive Urine Cultures: A Systematic Review and Meta-analysis.Open forum infectious diseases · 2017Article
- Comparison of patient hospital length of stay pre and post implementation of the CLINITEK AUWi System from Siemens to screen out negative urine samples intended for culture: A retrospective cohort study.Practical laboratory medicine · 2016Article
- Article
- Nosocomial bacteriuria in elderly inpatients may be leading to considerable antibiotic overuse: an audit of current management practice in a secondary level care hospital in New Zealand.Infection and drug resistance · 2014Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The goal of this study was to assess the overtreatment of asymptomatic bacteriuria (ASB) in hospitalized patients, calculate the total costs of inappropriate treatment, and determine if a multi-faceted educational intervention was effective in reducing the overtreatment of ASB in a resource-limited community hospital. The study encompassed three phases: a retrospective pre-intervention assessment of the baseline cost and treatment of ASB, the implementation of a multi-faceted educational intervention, and a prospective post-intervention assessment of the efficacy of the intervention. A positive urine culture was defined by bacterial counts ≥10(5) cfu/mL. In the pre-intervention group, 64 (83%) of 109 patients were asymptomatic: 30 (47%) were treated. In the post-intervention group, 13 (17%) of 55 patients were asymptomatic: 2 (15%) were treated, (p=0.04). Fewer urine cultures were collected during the post-intervention period than the pre-intervention period (3,127 and 3,419, respectively) (p<0.001). The total cost of inappropriately treating ASB in the pre-intervention group was $1200 compared to $600 in the post-intervention group. The results demonstrated a significant decrease in the inappropriate treatment of ASB and the associated costs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.