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Overtreatment of Asymptomatic Bacteriuria: Identifying Targets for Improvement

  • Sarah Hartley (a1), Staci Valley (a1), Latoya Kuhn (a2), Laraine L. Washer (a1) (a3), Tejal Gandhi (a1), Jennifer Meddings (a1), Carol Chenoweth (a1), Anurag N. Malani (a4), Sanjay Saint (a1) (a2), Arjun Srinivasan (a5) and Scott A. Flanders (a1)...


Treatment of asymptomatic bacteriuria contributes to antimicrobial overuse in hospitalized patients. Indications for urine culture, treatment, and targets for improvement were evaluated in 153 patients. Drivers of antimicrobial overuse included fever with an alternative source, altered mental status, and leukocytosis, which led 435 excess days of antimicrobial therapy.

Infect Control Hosp Epidemiol 2014;00(0): 1–4


Corresponding author

Address correspondence to Sarah E. Hartley, MD, Clinical Assistant Professor, University of Michigan Health System, 1500 E Medical Center Drive, SPC 5736, Ann Arbor, Michigan 48109 (


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