ArticleInfection control and hospital epidemiology2016
Treatment for Positive Urine Cultures in Hospitalized Adults: A Survey of Prevalence and Risk Factors in 3 Medical Centers.
Article in Infection control and hospital epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 39 citations in OpenAlex.
- Diagnostic accuracy of dipsticks for urinary tract infections in acutely hospitalised patients: a prospective population-based observational cohort study.BMJ evidence-based medicine · 2025Observational
- Impact of discontinuing automatic reflex urine culture after urinalysis: a diagnostic and antibiotic stewardship initiative.Frontiers in cellular and infection microbiology · 2025Article
- Asymptomatic bacteriuria in critical-access hospitals: Prevalence and patient characteristics driving treatment.Infection control and hospital epidemiology · 2024Article
- Recognizing asymptomatic bacteriuria in the surveillance of catheter-associated urinary tract infections-beyond fever and positive urine culture.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Effect of microbiology comment nudging on antibiotic use in asymptomatic bacteriuria: A before-and-after quasi-experimental study.Infection control and hospital epidemiology · 2023Article
- Prevalence and treatment of asymptomatic bacteriuria at academic and critical-access hospitals-Opportunities for stewardship efforts.Infection control and hospital epidemiology · 2023Article
- Antibiotic prescribing in mental health units across the Veterans' Health Administration: How much and how appropriate?Infection control and hospital epidemiology · 2023Article
- Can Electronic Clinical Decision Support Systems Improve the Diagnosis of Urinary Tract Infections? A Systematic Review and Meta-Analysis.Open forum infectious diseases · 2023Article
- Opportunities for antibiotic stewardship in emergency department or hospitalized patients with asymptomatic bacteriuria: identifying risk factors for antibiotic treatment.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Impact of provider-selected indication requirement on urine test utilization and positivity.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Treatment of Asymptomatic Bacteriuria after Implementation of an Inpatient Urine Culture Algorithm in the Electronic Medical Record.Pharmacy (Basel, Switzerland) · 2021Article
- Impact of Antimicrobial Stewardship Interventions on Antimicrobial Utilization in Asymptomatic Bacteriuria.Hospital pharmacy · 2021Article
- Narrative Review: The Process of Expanding the Manual of Antimicrobial Stewardship by the Government of Japan.Internal medicine (Tokyo, Japan) · 2021Review
- Article
- Reevaluating the true diagnostic accuracy of dipstick tests to diagnose urinary tract infection using Bayesian latent class analysis.PloS one · 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
- No need for a urine culture in elderly hospitalized patients with a negative dipstick test result.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018Article
- Infection Prevention and Antimicrobial Stewardship Knowledge for Selected Infections Among Nursing Home Personnel.Infection control and hospital epidemiology · 2017Article
- Inappropriate Management of Asymptomatic Patients With Positive Urine Cultures: A Systematic Review and Meta-analysis.Open forum infectious diseases · 2017Article
- Antibiotic Resistance in Urinary Isolates ofMateria socio-medica · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundAntibiotic treatment for asymptomatic bacteriuria (ASB) is prevalent but often contrary to published guidelines.
objectiveTo evaluate risk factors for treatment of ASB.
designRetrospective observational study.
settingA tertiary academic hospital, county hospital, and community hospital. PATIENTS: Hospitalized adults with bacteriuria.
methodsPatients without documented symptoms of urinary tract infection per Infectious Diseases Society of America (IDSA) criteria were classified as ASB. We examined ASB treatment risk factors as well as broad-spectrum antibiotic usage and quantified diagnostic concordance between IDSA and National Healthcare Safety Network criteria.
resultsAmong 300 patients with bacteriuria, ASB was present in 71% by IDSA criteria. By National Healthcare Safety Network criteria, 71% of patients had ASB; within-patient diagnostic concordance with IDSA was moderate (kappa, 0.52). After excluding those given antibiotics for nonurinary indications, antibiotics were given to 38% (62/164) with ASB. Factors significantly associated with ASB treatment were elevated urine white cell count (65 vs 24 white blood cells per high-powered field, P<.01), hospital identity (hospital C vs A, odds ratio, 0.34 [95% CI, 0.14-0.80], P =.01), presence of leukocyte esterase (5.48 [2.35-12.79], P<.01), presence of nitrites (2.45 [1.11-5.41], P=.03), and Escherichia coli on culture (2.4 [1.2-4.7], P=.01). Of patients treated for ASB, broad-spectrum antibiotics were used in 84%.
conclusionsASB treatment was prevalent across settings and contributed to broad-spectrum antibiotic use. Associating abnormal urinalysis results with the need for antibiotic treatment regardless of symptoms may drive unnecessary antibiotic use.
Indexed as
Identifiers
What OpenQuestion holds
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.