Asymptomatic bacteriuria

R Colgan, GA Jaffe, LE Nicolle - American family physician, 2020 - aafp.org
Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of
urinary symptoms, is a common clinical finding that often warrants a decision about whether …

Principles of diagnostic stewardship: a practical guide from the Society for Healthcare Epidemiology of America Diagnostic Stewardship Task Force

V Fabre, A Davis, DJ Diekema, B Granwehr… - Infection Control & …, 2023 - cambridge.org
We provide an overview of diagnostic stewardship with key concepts that include the
diagnostic pathway and the multiple points where interventions can be implemented …

Quality improvement interventions and implementation strategies for urine culture stewardship in the acute care setting: advances and challenges

S Advani, VM Vaughn - Current infectious disease reports, 2021 - Springer
Abstract Purpose of Review The goal of this article is to highlight how and why urinalyses
and urine cultures are misused, review quality improvement interventions to optimize urine …

Optimal urine culture diagnostic stewardship practice—results from an expert modified-Delphi procedure

KC Claeys, BW Trautner, S Leekha… - Clinical Infectious …, 2022 - academic.oup.com
Background Urine cultures are nonspecific and often lead to misdiagnosis of urinary tract
infection and unnecessary antibiotics. Diagnostic stewardship is a set of procedures that …

A statewide quality initiative to reduce unnecessary antibiotic treatment of asymptomatic bacteriuria

VM Vaughn, A Gupta, LA Petty, AN Malani… - JAMA Internal …, 2023 - jamanetwork.com
Importance Hospitalized patients with asymptomatic bacteriuria (ASB) often receive
unnecessary antibiotic treatment, which increases antibiotic resistance and adverse events …

Antibiotic overuse after hospital discharge: a multi-hospital cohort study

VM Vaughn, TN Gandhi, V Chopra… - Clinical infectious …, 2021 - academic.oup.com
Background Antibiotics are commonly prescribed to patients as they leave the hospital. We
aimed to create a comprehensive metric to characterize antibiotic overuse after discharge …

Guidelines for the prevention, diagnosis, and management of urinary tract infections in pediatrics and adults: a WikiGuidelines group consensus statement

Z Nelson, AT Aslan, NP Beahm, M Blyth… - JAMA Network …, 2024 - jamanetwork.com
Importance Traditional approaches to practice guidelines frequently result in dissociation
between strength of recommendation and quality of evidence. Objective To create a clinical …

Bacteremia from a presumed urinary source in hospitalized adults with asymptomatic bacteriuria

SD Advani, D Ratz, JK Horowitz, LA Petty… - JAMA Network …, 2024 - jamanetwork.com
Importance Guidelines recommend withholding antibiotics in asymptomatic bacteriuria
(ASB), including among patients with altered mental status (AMS) and no systemic signs of …

Choosing wisely initiative for reducing urine cultures for asymptomatic bacteriuria and catheter-associated asymptomatic bacteriuria in an 11-hospital safety net …

M Krouss, D Alaiev, DW Shin, J Talledo… - American Journal of …, 2023 - Elsevier
Background Treatment of asymptomatic bacteriuria (ASB) is common. Overtreatment of ASB
leads to harm, including adverse effects from antibiotics, antibiotic resistance, and increased …

Analysis of an antibiotic stewardship program for asymptomatic bacteriuria in the veterans affairs health care system

L Grigoryan, AD Naik, P Lichtenberger… - JAMA network …, 2022 - jamanetwork.com
Importance Antibiotic stewardship for asymptomatic bacteriuria (ASB) is an important quality
improvement target. Understanding how to implement successful antibiotic stewardship …