Infection Control and Hospital Epidemiology · 2015 · 37 citations · 6 references
PharmacyInfectious DiseasesMicrobiologyAntimicrobial PharmacotherapyAntimicrobial StewardshipBacteriologyAntibacterial TherapyAntimicrobial Agent SelectionAntimicrobial De-escalationBacterial InfectionsDe-escalation Of Antimicrobial TherapyUrinary Tract InfectionsAntibiotic OveruseAntimicrobial Utilization EvaluationBacteriuria DetectionIncremental TargetsUrine Culture InterpretationUrine Culture Stewardship
Treatment of asymptomatic bacteriuria contributes to antimicrobial overuse in hospitalized patients. Indications for urine culture, treatment, and targets for improvement were evaluated in 153 patients. Drivers of antimicrobial overuse included fever with an alternative source, altered mental status, and leukocytosis, which led 435 excess days of antimicrobial therapy.
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Thomas M. Hooton, Suzanne Bradley, Diana D. Cardenas et al. · Clinical Infectious Diseases · 2010 · 2.1K citations · Full text
Public Health, Infectious Disease Control, Infectious Diseases +16