An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria

被引：26

作者：

Daniel, Michael ^{[1
]}

Keller, Sara ^{[1
,2
,3
]}

Mozafarihashjin, Mohammad ^{[4
,5
]}

Pahwa, Amit ^{[1
,6
]}

Soong, Christine ^{[7
,8
,9
]}

机构：

[1] Johns Hopkins Univ, Dept Med, Baltimore, MD USA

[2] Johns Hopkins Univ Hosp, Div Infect Dis, Baltimore, MD 21287 USA

[3] Johns Hopkins Univ, Sch Med, Armstrong Inst Patient Safety & Qual, Baltimore, MD USA

[4] Sinai Hlth Syst, Dept Infect Control, Toronto, ON, Canada

[5] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada

[6] Johns Hopkins Univ Hosp, Div Hosp Med, Baltimore, MD 21287 USA

[7] Sinai Hlth Syst, Div Gen Internal Med, Toronto, ON, Canada

[8] Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada

[9] Univ Toronto, Ctr Qual & Patient Safety, Toronto, ON, Canada

来源：

JAMA INTERNAL MEDICINE | 2018年 / 178卷 / 02期

关键词：

URINARY-TRACT-INFECTIONS; ANTIMICROBIAL TREATMENT; ANTIBIOTIC OVERUSE; NURSING-HOMES; LONG-TERM; WOMEN; ADULTS; INTERVENTION; RESIDENTS; MORTALITY;

D O I：

10.1001/jamainternmed.2017.7290

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Treatment of asymptomatic bacteriuria (ASB) frequently lacks appropriate indication, yet remains prevalent across settings. Numerous guidelines, professional societies, and campaigns such as Choosing Wisely advocate against this low-value practice. Efforts aimed at reducing unnecessary treatment of ASB demonstrate improved costs, and avoidable harm without increased risk of adverse events. We propose an evidence-based implementation guide to aid practitioners in reducing inappropriate treatment of ASB.

引用

页码：271 / 276

页数：6

共 28 条

[1] DOES ASYMPTOMATIC BACTERIURIA PREDICT MORTALITY AND DOES ANTIMICROBIAL TREATMENT REDUCE MORTALITY IN ELDERLY AMBULATORY WOMEN [J].