Abstract
Assessment of a 2-Step Urine Culture Ordering Process for Detecting Asymptomatic Bacteruria Among Hospitalized Patients
Highlights
Educational interventions attempting to reduce the treatment of asymptomatic bacteruria and candiduria (ASB/C) have been largely unsuccessful
urine culture (UC) could be submitted by nurses, according to medical directives, or by physicians, based on clinical suspicion of urinary tract infection, and all UCs were processed by the microbiology laboratory
A total of 1344 ordered UCs were included in the preintervention analysis, and 866 ordered UCs were included in the postintervention analysis
Summary
Educational interventions attempting to reduce the treatment of asymptomatic bacteruria and candiduria (ASB/C) have been largely unsuccessful. Modifying how urine cultures (UCs) are ordered, processed, and reported may be a more effective strategy for reducing the overdiagnosis of ASB/C.1. A 2-step UC ordering process was associated with a reduction in the number of UCs and antimicrobial treatments of ASB/C in the emergency department,[2] and we evaluated a similar intervention among patients hospitalized in an acute care setting. Author affiliations and article information are listed at the end of this article Modifying how urine cultures (UCs) are ordered, processed, and reported may be a more effective strategy for reducing the overdiagnosis of ASB/C.1 A 2-step UC ordering process was associated with a reduction in the number of UCs and antimicrobial treatments of ASB/C in the emergency department,[2] and we evaluated a similar intervention among patients hospitalized in an acute care setting.
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