BLADDER score: evaluating a tool to support urinary diagnostic and antibiotic stewardship in hospitalized adults.

ABSTRACT:

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 the impact of a simple scoring tool on urine culturing and antibiotic prescribing for adults with presumed urinary tract infections (UTI).

Design

Quasi-experimental study using interrupted time series with segmented regression to evaluate urine culturing and urinary antibiotic use and length of stay (LOS), acute care transfers, and mortality 18 months before and 16 months after the intervention.

Setting

134-bed complex continuing care and rehabilitation hospital in Ontario, Canada.

Participants

Nurses, nurse practitioners, physicians, and other healthcare professionals.

Interven

SUBMITTER: Langford BJ 

PROVIDER: S-EPMC11611499 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature