Clinical factors and diagnoses associated with inappropriate urine culture ordering in primary care.

ABSTRACT:

Objective

Evaluate the prevalence and risk factors for inappropriately ordered urine cultures in primary care.

Design

Cross-sectional study using chart reviews.

Setting

Two primary care, safety-net clinics in Houston, Texas.

Patients

Non-pregnant adults without a urinary catheter who had a urine culture and a primary care visit between 11/2018 and 3/2020.

Methods

We classified patients lacking physician documentation of the following symptoms as having an inappropriately ordered urine culture: dysuria, frequency, urgency, hematuria, fever, chills, costovertebral angle tenderness, nephrolithiasis, and pain (suprapubic, pelvic, or flank). We extracted patient demographics, visit-related diagnostic codes, past medical history, and urine culture results. Dia

SUBMITTER: Valentine-King M 

PROVIDER: S-EPMC12825956 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature