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Evaluation of a Novel Intervention to Reduce Unnecessary Urine Cultures in Intensive Care Units at a Tertiary Care Hospital in Maryland, 2011–2014

  • Lauren Epstein (a1) (a2), Jonathan R. Edwards (a1), Alison Laufer Halpin (a1), Michael Anne Preas (a3), David Blythe (a4), Anthony D. Harris (a5), David Hunt (a3), J. Kristie Johnson (a5), Mala Filippell (a3), Carolyn V. Gould (a1) and Surbhi Leekha (a5)...


We assessed the impact of a reflex urine culture protocol, an intervention aimed to reduce unnecessary urine culturing, in intensive care units at a tertiary care hospital. Significant decreases in urine culturing rates and reported rates of catheter-associated urinary tract infection followed implementation of the protocol.

Infect Control Hosp Epidemiol 2016;37:606–609


Corresponding author

Address correspondence to Lauren Epstein, MD, MSc, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mailstop A-24, Atlanta, GA 30333 (


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Presented in part: IDWeek 2014; Philadelphia, Pennsylvania; October 10, 2014 (Abstract 1231).



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