Conditional reflex to urine culture: Evaluation of a diagnostic stewardship intervention within the Veterans' Affairs and Centers for Disease Control and Prevention Practice-Based Research Network.

ABSTRACT:

Objective

In the absence of pyuria, positive urine cultures are unlikely to represent infection. Conditional urine reflex culture policies have the potential to limit unnecessary urine culturing. We evaluated the impact of this diagnostic stewardship intervention.

Design

We conducted a retrospective, quasi-experimental (nonrandomized) study, with interrupted time series, from August 2013 to January 2018 to examine rates of urine cultures before versus after the policy intervention. We compared 3 intervention sites to 3 control sites in an aggregated series using segmented negative binomial regression.

Setting

The study included 6 acute-care hospitals within the Veterans' Health Administration across the United States.

Participants

Adult patients with at least 1

SUBMITTER: Claeys KC 

PROVIDER: S-EPMC8507330 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature