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Optimizing Inpatient Urine Culture Ordering Practices Using the Electronic Medical Record: A Pilot Study

Published online by Cambridge University Press:  27 December 2016

Daniel Shirley*
Affiliation:
Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
Harry Scholtz
Affiliation:
Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin UW Health, Madison, Wisconsin
Kurt Osterby
Affiliation:
UW Health, Madison, Wisconsin
Jackson Musuuza
Affiliation:
Institute for Clinical and Translational Research, University of Wisconsin, Madison, Wisconsin William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.
Barry Fox
Affiliation:
Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
Nasia Safdar
Affiliation:
Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.
*
Address correspondence to Daniel Shirley, MD, MS, Division of Infectious Disease, University of Wisconsin School of Medicine and Public Health, Medical Foundation Centennial Building 5th floor, 1685 Highland Ave, Madison, WI (dshirley@medicine.wisc.edu).

Abstract

A prospective quasi-experimental before-and-after study of an electronic medical record–anchored intervention of embedded education on appropriate urine culture indications and indication selection reduced the number of urine cultures ordered for catheterized patients at an academic medical center. This intervention could be a component of CAUTI-reduction bundles.

Infect Control Hosp Epidemiol 2017;38:486–488

Type
Concise Communications
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. 2014 National and state healthcare-associated infections progress report. Centers for Disease Control and Prevention website. www.cdc.gov/hai/progress-report/index.html. Published March 2016. Accessed November 15, 2016.Google Scholar
2. Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA. Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 2010;31:319326.CrossRefGoogle ScholarPubMed
3. Tambyah, PA, Knasinski, V, Maki, DG. The direct costs of nosocomial catheter-associated urinary tract infection in the era of managed care. Infect Control Hosp Epidemiol 2002;23:2731.CrossRefGoogle ScholarPubMed
4. 2013 Statement on US efforts to reduce healthcare-associated infections before Committee on Health, Education, Labor and Pensions of the United States Senate. US Department of Health and Human Services website. www.hhs.gov/asl/testify/2013/09/t20130924.html. Published 2013. Accessed November 15, 2016.Google Scholar
5. Hartley, S, Valley, S, Kuhn, L, et al. Inappropriate testing for urinary tract infection in hospitalized patients: an opportunity for improvement. Infect Control Hosp Epidemiol 2013;34:12041207.CrossRefGoogle ScholarPubMed
6. Fridkin, S, Baggs, J, Fagan, R, et al. Centers for Disease Control and Prevention. Vital signs: improving antibiotic use among hospitalized patients. MMWR 2014;63:194200.Google ScholarPubMed
7. Meeker, D, Linder, JA, Fox, CR, et al. Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. JAMA 2016;315:562570.CrossRefGoogle ScholarPubMed
8. Schulz, L, Hoffman, RJ, Pothof, J, Fox, B. Top ten myths regarding the diagnosis and treatment of urinary tract infections. J Emerg Med 2016;51:2530.CrossRefGoogle ScholarPubMed
9. Irfan, N, Brooks, A, Mithoowani, S, Celetti, SJ, Main, C, Mertz, D. A controlled quasi-experimental study of an educational intervention to reduce the unnecessary use of antimicrobials for asymptomatic bacteriuria. PLoS One 2015;10:111.CrossRefGoogle ScholarPubMed
10. 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. doi: 10.1016/j.ajic.2016.04.232.CrossRefGoogle ScholarPubMed
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