Urinary tract infection stewardship: A urinary antibiogram and electronic medical record alert nudging narrower-spectrum antibiotics for urinary tract infections

Maryrose Laguio-Vila; Mary L. Staicu; Mary Lourdes Brundige; Jose Alcantara; Hongmei Yang; Ebbing Lautenbach; Ghinwa Dumyati

doi:10.1017/ash.2021.163

Antimicrobial Stewardship & Healthcare Epidemiology (Jan 2021)

Urinary tract infection stewardship: A urinary antibiogram and electronic medical record alert nudging narrower-spectrum antibiotics for urinary tract infections

Maryrose Laguio-Vila,
Mary L. Staicu,
Mary Lourdes Brundige,
Jose Alcantara,
Hongmei Yang,
Ebbing Lautenbach,
Ghinwa Dumyati

Affiliations

Maryrose Laguio-Vila: ORCiD; Department of Infectious Diseases, Rochester General Hospital, Rochester, New York
Mary L. Staicu: Department of Pharmacy, Rochester General Hospital, Rochester, New York
Mary Lourdes Brundige: Department of Pharmacy, Rochester General Hospital, Rochester, New York
Jose Alcantara: Department of Internal Medicine, Rochester General Hospital, Rochester, New York
Hongmei Yang: Departments of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, New York
Ebbing Lautenbach: Department of Infectious Diseases, University of Pennsylvania, Philadelphia, Pennsylvania
Ghinwa Dumyati: Department of Infectious Diseases, University of Rochester Medical Center, Rochester, New York

DOI: https://doi.org/10.1017/ash.2021.163
Journal volume & issue: Vol. 1

Abstract

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An antimicrobial stewardship intervention consisting of a urinary antibiogram and an electronic health record best-practice advisory promoted narrower-spectrum antibiotics for uncomplicated urinary tract infections in hospitalized patients. Over 20 months, the intervention significantly reduced ceftriaxone orders by 48% (P < .001) and increased cefazolin use 19 times from baseline (P < .001).

Published in Antimicrobial Stewardship & Healthcare Epidemiology

ISSN: 2732-494X (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases; Medicine: Public aspects of medicine
Website: https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology

About the journal