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Importance of Urinary Tract Infection to Antibiotic Use Among Hospitalized Patients

Published online by Cambridge University Press:  02 January 2015

Tejal Gandhi
Affiliation:
Division of Infectious Diseases, Ann Arbor, Michigan
Scott A. Flanders
Affiliation:
Division of General Medicine, Ann Arbor, Michigan
Erica Markovitz
Affiliation:
Division of General Medicine, Ann Arbor, Michigan
Sanjay Saint
Affiliation:
Division of General Medicine, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan Medical School, and Department of Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, Michigan
Daniel R. Kaul*
Affiliation:
Division of Infectious Diseases, Ann Arbor, Michigan
*
University of Michigan Medical School, Department of Internal Medicine, Division of Infectious Diseases, 1500 East Medical Center Drive, 3120 Taubman Center, Ann Arbor, MI 48109-5378 ([email protected])

Abstract

Many patients with asymptomatic bacteriuria receive extended courses of broad-spectrum antibiotics. Antibiotic use was analyzed in patients admitted to the hospital with urinary tract infection. Strategies to optimize antibiotic use for such patients are discussed and include implementing a process whereby a urine culture is automatically performed if a urinalysis result suggests infection.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004;32:470485.CrossRefGoogle Scholar
2.Shlaes, DM, Gerding, DN, John, JF Jr, et al.Society for Healthcare Epidemiology of America and Infectious Diseases Society of America Joint Committee on the Prevention of Antimicrobial Resistance: guidelines for the prevention of antimicrobial resistance in hospitals. Clin Infect Dis 1997;25:584599.Google Scholar
3.Nicolle, L, Bradley, S, Colgan, R, Rice, J, Schaeffer, A, Hooton, T. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005;40:643654.CrossRefGoogle Scholar
4.Carling, P, Fung, T, Killion, A, Terrin, N, Barza, M. Favorable impact of a multidisciplinary antibiotic management program conducted during 7 years. Infect Control Hosp Epidemiol 2003;24:699706.Google Scholar
5.Dellit, TH, Owens, RC, McGowan, JE Jr, et al.Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Inf Dis 2007;44:159177.CrossRefGoogle Scholar
6.Gross, P, Patel, B. Reducing antibiotic overuse: a call for a national performance measure for not treating asymptomatic bacteriuria. Clin Infect Dis 2007;45:13351337.Google Scholar
7.Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care Setting. Am J Infect Control 2008;36:309332.CrossRefGoogle ScholarPubMed
8.Hermanides, HS, Hulscher, MEJL, Schouten, JA, Prins, JM, Geerlings, SE. 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;46:703711.CrossRefGoogle ScholarPubMed
9.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 randomised controlled trial. BMJ 2005;331:669.CrossRefGoogle ScholarPubMed
10.Saint, S, Wiese, J, Amory, JK, et al.Are physicians aware of which of their patients have indwelling urinary catheters? Am J Med 2000;109:476480.Google Scholar