Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-28T00:40:14.475Z Has data issue: false hasContentIssue false
  • English
  • Français

Impact of an Antimicrobial Stewardship Care Bundle to Improve the Management of Patients with Suspected or Confirmed Urinary Tract Infection

Published online by Cambridge University Press:  30 August 2016

Curtis D. Collins ,
Jared J. Kabara ,
Sarah M. Michienzi  and
Anurag N. Malani
Curtis D. Collins*
Affiliation:
Department of Pharmacy Services, St Joseph Mercy Health System, Ann Arbor, Michigan
Jared J. Kabara
Affiliation:
Quality Institute, St Joseph Mercy Health System, Ann Arbor, Michigan
Sarah M. Michienzi
Affiliation:
Department of Pharmacy Services, St Joseph Mercy Health System, Ann Arbor, Michigan
Anurag N. Malani
Affiliation:
Department of Internal Medicine, Division of Infectious Diseases; St Joseph Mercy Health System, Ann Arbor, Michigan Department of Infection Prevention and Control, St Joseph Mercy Health System, Ann Arbor, Michigan.
*
Address correspondence to Curtis D. Collins, PharmD, MS, St. Joseph Mercy Health System, 5301 East Huron River Drive, Ann Arbor, MI 48106 ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Implementation of an antimicrobial stewardship program bundle for urinary tract infections among 92 patients led to a higher rate of discontinuation of therapy for asymptomatic bacteriuria (52.4% vs 12.5%; P =.004), more appropriate durations of therapy (88.7% vs 63.6%; P =.001), and significantly higher overall bundle compliance (75% vs 38.2%; P < .001).

Infect Control Hosp Epidemiol 2016;1499–1501

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 12 , December 2016 , pp. 1499 - 1501
Copyright
© 2016 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.)

References

REFERENCES

1. Core elements of hospital antibiotic stewardship programs. Centers for Disease Control and Prevention website. http://www.cdc.gov/getsmart/healthcare/implementation/core-elements.html. Published 2015. Accessed November 16, 2015.Google Scholar
2. Hartley, S, Valley, S, Kuhn, L, et al. Overtreatment of asymptomatic bacteriuria: Identifying targets for improvement. Infect Control Hosp Epidemiol 2015;36:470–473.CrossRefGoogle ScholarPubMed
3. Hartley, SE, Kuhn, L, Valley, S, et al. Evaluating a hospital-based intervention to decrease unnecessary antimicrobial use in patients with asymptomatic bacteriuria. Infect Control Hosp Epidemiol June 2016;8 pp. doi:10.1017/ice.2016.119.Google Scholar
4. Nicolle, LE, Bradley, S, Colgan, R, et al. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005;40:643–654.CrossRefGoogle Scholar
5. Gupta, K, Hooton, TM, Naber, KG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis 2011;52:e103–e120.CrossRefGoogle Scholar
6. Hooton, TM, Bradley, SF, Cardenas, DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis 2010;50:625–663.Google Scholar
7. Hermanides, HS, Hulscher, ME, Schouten, JA, et al. Development of quality indicators for the antibiotic treatment of complicated urinary tract infections: a first step to measure and improve care. Clin Infect Dis 2008;46:703–711.Google Scholar
8. Spoorenberg, V, Marlies, EJ, Hulscher, RP, Prins, JM, et al. Appropriate antibiotic use for patients with urinary tract infections reduces length of hospital stay. Clin Infect Dis 2014;58:164–169.Google Scholar
9. Trautner, BW, Grigoryan, L, Petersen, NJ, et al. Effectiveness of an antimicrobial stewardship approach for urinary catheter-associated asymptomatic bacteriuria. JAMA Intern Med 2015;175:1120–1127.Google Scholar
10. Leis, JA, Rebick, GW, Daneman, N, et al. Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study. Clin Infect Dis 2014;58:980–983.CrossRefGoogle ScholarPubMed