Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-30T20:25:27.719Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of diagnostic stewardship practices to improve urine culturing among SHEA Research Network hospitals

Part of: SHEA Research Network Collection

Published online by Cambridge University Press:  07 December 2018

Kaede V. Sullivan Open the ORCID record for Kaede V. Sullivan [Opens in a new window] ,
Daniel J. Morgan  and
Surbhi Leekha
Kaede V. Sullivan*
Affiliation:
Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania
Daniel J. Morgan
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland Veterans Affairs Maryland Healthcare System, Baltimore, Maryland
Surbhi Leekha
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
*
Author for correspondence: Kaede V. Sullivan, Temple University Hospital, 3401 Broad St, Room A2 F329, Philadelphia, PA 19140. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

This survey investigated interventions used by acute-care hospitals to reduce the detection of asymptomatic bacteriuria. Half of the respondents reported using reflex urine cultures but with varied urinalysis criteria and perceived outcomes. Other diagnostic stewardship interventions for urine culture ordering and specimen quality were less common.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 2 , February 2019 , pp. 228 - 231
Copyright
© 2018 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

Cite this article: Sullivan KV, et al. (2019). Use of diagnostic stewardship practices to improve urine culturing among SHEA Research Network hospitals. Infection Control & Hospital Epidemiology 2019, 40, 228–231. doi: 10.1017/ice.2018.325

References

1. Nicolle, LE, Bradley, S, Colgan, R, Rice, JC, Schaeffer, A, Hooton, TM. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005;40:643–654.Google Scholar
2. Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) and other urinary system infection [USI] events. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. Accessed August 22, 2018.Google Scholar
3. Keller, SC, Feldman, L, Smith, J, Pahwa, A, Costrove, SE, Chida, N. The use of clinical decision support in reducing diagnosis of and treatment of asymptomatic bacteriuria. J Hosp Med 2018;13:392–395.Google Scholar
4. Epstein, L. Evaluation of a novel intervention to reduce unnecessary urine cultures in intensive care units at a tertiary care hospital in Maryland, 2011–2014. Infect Control Hosp Epidemiol 2016;37:606–609.Google Scholar
5. 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.Google Scholar
6. Dietz, J, Lo, TS, Hammer, K, Zegarra, M. Impact of eliminating reflex urine cultures on performed urine cultures and antibiotic use. Am J Infect Control 2016;44:1750–1751.Google Scholar
7. Tambyah, PA, Maki, DG. The relationship between pyuria and infection in patients with indwelling urinary catheters: a prospective study of 761 patients. Arch Intern Med 2000;160:673–677.Google Scholar
8. Stovall, RT, Haenal, JB, Jenkins, TC, et al. A negative urinalysis rules out catheter-associated urinary tract infection in trauma patients in the intensive care unit. J Am Coll Surg 2013;217:162–166.Google Scholar
9. Chan, WW. Section 3.12: Urine cultures. In: Amy Leber, ed. Clinical Microbiology Procedures Handbook, 4th ed. Washington, DC: ASM Press, 2016.Google Scholar
Supplementary material: File

Sullivan et al. supplementary material

Sullivan et al. supplementary material 1

Download Sullivan et al. supplementary material(File)
File 36.9 KB