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Current Infectious Disease Reports
Erschienen in: Current Infectious Disease Reports 4/2019

01.04.2019 | Healthcare Associated Infections (G Bearman and D Morgan, Section Editors)

Advances and Challenges in the Diagnosis and Treatment of Urinary Tract Infections: the Need for Diagnostic Stewardship

verfasst von: Kimberly C. Claeys, Natalia Blanco, Daniel J. Morgan, Surbhi Leekha, Kaede V. Sullivan

Erschienen in: Current Infectious Disease Reports | Ausgabe 4/2019

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Abstract

Purpose of Review

Urinary tract infections (UTIs), including catheter-associated UTIs, are among the most common bacterial infections in both inpatient and outpatient settings. Diagnosis of true UTI remains a clinical challenge, and excessive antimicrobial treatment of asymptomatic bacteriuria (ASB) or contaminated urine cultures is common.

Recent Findings

Challenges with the appropriate diagnosis of UTIs include the lack of specific signs and symptoms, no definitive diagnostic criteria, high incidence of ASB, contamination of samples, and frequent lack of indications for ordering urine cultures. Promising interventions include education and feedback, indication requirements when ordering cultures, and use of reflex culture policies that limit urine cultures.

Summary

Antimicrobial and diagnostic stewardship interventions can work synergistically to decrease ordering of urine cultures without clear indication and prevent excessive antimicrobial administration in patients without clearly defined UTI.
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Metadaten
Titel
Advances and Challenges in the Diagnosis and Treatment of Urinary Tract Infections: the Need for Diagnostic Stewardship
verfasst von
Kimberly C. Claeys
Natalia Blanco
Daniel J. Morgan
Surbhi Leekha
Kaede V. Sullivan
Publikationsdatum
01.04.2019
Verlag
Springer US
Erschienen in
Current Infectious Disease Reports / Ausgabe 4/2019
Print ISSN: 1523-3847
Elektronische ISSN: 1534-3146
DOI
https://doi.org/10.1007/s11908-019-0668-7

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