How many urinalysis and urine cultures are necessary?

نویسندگان

چکیده

BackgroundUrinalysis and urine culture are two of the most commonly ordered tests. A positive test in asymptomatic patients often leads to overtreatment. Antimicrobials for bacteriuria is one common unnecessary treatments. We aimed explore current ordering patterns urinalysis cultures.MethodsThis a substudy multicentre RICAT-trial, successful quality improvement project reduce inappropriate use intravenous urinary catheters seven hospitals Netherlands. Adult with (central or peripheral) venous catheter admitted internal medicine non-surgical subspecialty wards were eligible inclusion. Data collected every other week during baseline (seven months) intervention periods months). The primary outcome was proportion cultures performed following negative urinalysis, i.e. dipstick and/or microscopic analysis, within 24 h.ResultsBetween September 2016 April 2018, we included 3748 patients, which 3111 (83%) from emergency department. Urinalysis obtained 2610 (70%) patients. 626 (23.7%) 2636 1351 (55.8%) 2419 analysis after urinalysis. Cancelling testing orders would have saved almost € 19.500 study period these hospitals.ConclusionUnnecessary frequent need take action cultures, thereby probably overtreatment bacteriuria.

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ژورنال

عنوان ژورنال: European Journal of Internal Medicine

سال: 2021

ISSN: ['1879-0828', '0953-6205']

DOI: https://doi.org/10.1016/j.ejim.2020.08.013