Antimicrobial resistance (AMR) has emerged as a significant global healthcare problem.
Antibiotic use has accelerated the physiologic process of AMR, particularly in Gram-negative …

Antimicrobial stewardship programs (ASPs) exist to optimize antibiotic use, reduce selection
for antimicrobial-resistant microorganisms, and improve patient outcomes. Rapid and …

Diagnostic stewardship can decrease unnecessary antibiotics and inappropriate diagnosis
of UTI with multifaceted interventions most likely to be effective. Remaining questions …

Importance Urinary tract infection (UTI) is the second most common infection leading to
hospitalization and is often associated with gram-negative multidrug-resistant organisms …

Background Inappropriate diagnosis of infections results in antibiotic overuse and may delay
diagnosis of underlying conditions. Here we describe the development and characteristics of …

Asymptomatic bacteriuria (ASB) is a diagnosis created to counter the persistent belief that a
positive urine culture equals urinary tract infection (UTI), which equals antibiotics. 1 Positive …

In a multi-hospital cohort study of 3392 patients, positive urinalysis parameters had poor
positive predictive value for diagnosing urinary tract infection (UTI). Combined urinalysis …

Objective: Antibiotic overuse for asymptomatic bacteriuria is common in older adults and can
lead to harmful outcomes including antimicrobial resistance. Our objective was to evaluate …

Background Antibiotic overuse at hospital discharge is common, costly, and harmful. While
discharge-specific antibiotic stewardship interventions are effective, they are resource …

Objectives This narrative review aims to present the concept of value in imaging and explore
why we conduct low-value procedures, how to reduce this wasteful use, and what we could …