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Diagnosis of urinary tract infections: need for a reflective rather than reflexive approach

  • Mohamad G. Fakih (a1) (a2), Sonali D. Advani (a3) and Valerie M. Vaughn (a4) (a5)
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Copyright

Corresponding author

Author for correspondence: Mohamad G. Fakih, Email: Mohamad.Fakih@ascension.org

References

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1. Munigala, S, Rojek, R, Wood, H, et al. Effect of changing urine testing orderables and clinician order sets on inpatient urine culture testing: analysis from a large academic medical center. Infect Control Hosp Epidemiol 2019;40:281286.
2. Sullivan, KV, Morgan, DJ, Leekha, S. Use of diagnostic stewardship practices to improve urine culturing among SHEA research network hospitals. Infect Control Hosp Epidemiol 2019;40:228231.
3. Sarg, M, Waldrop, GE, Beier, MA, et al. Impact of changes in urine culture ordering practice on antimicrobial utilization in intensive care units at an academic medical center. Infect Control Hospital Epidemiol 2016;37:448454.
4. Mullin, KM, Kovacs, CS, Fatica, C, et al. A multifaceted approach to reduction of catheter-associated urinary tract infections in the intensive care unit with an emphasis on “stewardship of culturing.” Infect Control Hosp Epidemiol 2017;38:186188.
5. Humphries, RM, Dien Bard, J. Point-counterpoint: reflex cultures reduce laboratory workload and improve antimicrobial stewardship in patients suspected of having urinary tract infections. J Clin Microbiol 2016;54:254258.
6. Nicolle, LE, Bradley, S, Colgan, R, Rice, JC, Schaeffer, A, Hooton, TM. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005;40:643654.
7. Morgan, DJ, Malani, P, Diekema, DJ. Diagnostic stewardship-leveraging the laboratory to improve antimicrobial use. JAMA 2017;318:607608.
8. Fakih, MG, Khatib, R. Improving the culture of culturing: critical asset to antimicrobial stewardship. Infect Control Hosp Epidemiol 2017;38:377379.
9. Hooton, TM, Bradley, SF, Cardenas, DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International clinical practice guidelines from the infectious diseases society of America. Clin Infect Dis 2010;50:625663.
10. Vaughn, VM, Chopra, V. Revisiting the panculture. BMJ Qual Saf 2017;26:236239.

Diagnosis of urinary tract infections: need for a reflective rather than reflexive approach

  • Mohamad G. Fakih (a1) (a2), Sonali D. Advani (a3) and Valerie M. Vaughn (a4) (a5)

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