Validation and generalizability of an asymptomatic bacteriuria metric in critical access hospitals.

ABSTRACT:

Objective

Inappropriate diagnosis and treatment of urinary tract infections (UTIs) contribute to antibiotic overuse. The Inappropriate Diagnosis of UTI (ID-UTI) measure uses a standard definition of asymptomatic bacteriuria (ASB) and was validated in large hospitals. Critical access hospitals (CAHs) have different resources which may make ASB stewardship challenging. To address this inequity, we adapted the ID-UTI metric for use in CAHs and assessed the adapted measure's feasibility, validity, and reliability.

Design

Retrospective observational study.

Participants

10 CAHs.

Methods

From October 2022 to July 2023, CAHs submitted clinical information for adults admitted or discharged from the emergency department who received antibiotics for a positive urine cultu

SUBMITTER: Imlay H 

PROVIDER: S-EPMC11790320 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature