Impact of laboratory-reported urine culture colony counts on the diagnosis and treatment of urinary tract infection for hospitalized patients

American Journal of Clinical Pathology

Volumn 137, Issue 5, 2012, Pages 778-784

  Kwon, Jennie H ^a   Fausone, Maureen K ^a   Du, Hongyan ^a   Robicsek, Ari ^a,b   Peterson, Lance R ^a,b  

^a NORTHSHORE UNIVERSITY HEALTHSYSTEM   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

Asymptomatic bacteriuria; Nosocomial infection; Urinary tract infection; Urine culture colony count

Indexed keywords

ANTIBIOTIC AGENT;

ANTIBIOTIC THERAPY; ARTICLE; BACTERIAL COUNT; COLONY FORMING UNIT; CONTROLLED STUDY; HOSPITAL INFECTION; HUMAN; LEUKOCYTE COUNT; MEDICAL RECORD REVIEW; PHYSICIAN; PRACTICE GUIDELINE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; URINALYSIS; URINARY CATHETER; URINARY TRACT INFECTION; URINE CULTURE; CROSS INFECTION; HOSPITALIZATION; METHODOLOGY; PATIENT SAFETY; TOTAL QUALITY MANAGEMENT; URINE;

COLONY COUNT, MICROBIAL; CROSS INFECTION; HOSPITALIZATION; HUMANS; PATIENT SAFETY; QUALITY IMPROVEMENT; URINALYSIS; URINARY TRACT INFECTIONS;

EID: 84862588530     PISSN: 00029173     EISSN: 19437722     Source Type: Journal    
DOI: 10.1309/AJCP4KVGQZEG1YDM     Document Type: Article

References (31)

1. Centers for Disease Control and Prevention. Catheter associated urinary tract infection (CAUTI) event. January 2012. http://www.cdc.gov/nhsn/pdfs/ pscManual/7pscCAUTIcurrent.pdf. Accessed March 21, 2012.
2. Gould C, Umscheid C, Agarwal R, et al; and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for the prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol. 2010;31:319-326.
3. Peterson LR, Miller JM. "ClinMicroNet": microbiology directors' forum [available to members only]. ClinMicroNet. October 2011.
4. Stark R, Maki D. Bacteriuria in the catheterized patient. N Engl J Med. 1984;311:560-564.
5. Wagenlehner F, Hoyme U, Kaase M, et al. Clinical practice guideline: uncomplicated urinary tract infections. Dtsch Arztebl Int. 2011;108:415-423.
6. Stewardson A, Huttner B, Harbarth F. At least it won't hurt: the personal risk of antibiotic exposure. Curr Opin Pharmacol. 2011;11:446-452.
7. Fakih M, Dueweke C, Meisener S, et al. Effect of nurse-led multidisciplinary rounds on reducing the unnecessary use of urinary catheterization in hospitalized patients. Infect Control Hosp Epidemiol. 2008;29:815-819.
8. Gopal Rao G, Patel M. Urinary tract infection in hospitalized elderly patients in the United Kingdom: the importance of making an accurate diagnosis in the post broad-spectrum antibiotic era. J Antimicrob Chemother. 2009;63:5-6.
9. Kauffman C, Fisher J. Candida urinary tract infections: diagnosis. Clin Infect Dis. 2011;52(suppl 6):S452-S456.
10. Achkar J, Fries B. Candida infections of the genitourinary tract. Clin Microbiol Rev. 2010;23:253-273.
11. Hosmer D, Lemeshow S. Applied Logistic Regression. 2nd ed. New York, NY: Wiley; 2000:162.
12. Saint S, Olmstead R, Fakih M, et al. Translating healthcare-associated urinary tract infection research into practice via the bladder bundle. Jt Comm J Qual Patient Saf. 2009;35:449-455.
13. Saint S, Chenoweth C. Biofilms and catheter-associated urinary tract infections. Infect Dis Clin N Am. 2003;17:411-432. (Pubitemid 36760190)
14. File TM Jr, Solomkin JS, Cosgrove SE. Strategies for improving antimicrobial use and the role of antimicrobial stewardship programs. Clin Infect Dis. 2011;53(suppl 1):S15-S22.
15. Harding GK, Zhanel GG, Nicolle LE, et al; for the Manitoba Diabetes Urinary Tract Infection Study Group. Antimicrobial treatment in diabetic women with asymptomatic bacteriuria. N Engl J Med. 2002;347:1576-1583. (Pubitemid 35315838)
16. Warren JW, Anthony WC, Hoopes JM, et al. Cephalexin for susceptible bacteriuria in afebrile, long-term catheterized patients. JAMA. 1982;248:454-458. (Pubitemid 12081752)
17. Boscia JA, Kobasa WD, Knight RA, et al. Therapy vs no therapy for bacteriuria in elderly ambulatory nonhospitalized women. JAMA. 1987;257:1067-1071. (Pubitemid 17031496)
18. Nordenstam GR, Brandberg CA, Odén AS, et al. Bacteriuria and mortality in an elderly population. N Engl J Med. 1986;314:1152-1156. (Pubitemid 16138662)
19. Nicolle LE, Mayhew WJ, Bryan L. Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in 500 institutionalized elderly women. Am J Med. 1987;83:27-33. (Pubitemid 18099023)
20. Nicolle LE, Bjornson J, Harding GK, et al. Bacteriuria in elderly institutionalized men. N Engl J Med. 1983;309:1420-1425. (Pubitemid 14245138)
21. Dalen DM, Zvonar RK, Jessamine PG. An evaluation of the management of asymptomatic catheter-associated bacteriuria and candiduria at The Ottawa Hospital. Can J Infect Dis Med Microbiol. 2005;16:166-170. (Pubitemid 41113431)
22. Gandhi T, Flanders SA, Markovitz E, et al. Importance of urinary tract infection to antibiotic use among hospitalized patients. Infect Control Hosp Epidemiol. 2009;30:193-195.
23. Cope M, Cevallos ME, Cadle RM, et al. Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital. Clin Infect Dis. 2009;48:1182-1188.
24. Centers for Disease Control and Prevention. National Health Safety Network. Reviewed October 25, 2010; updated September 30, 2011. http://www.cdc.gov/nhsn/about.html. Accessed March 21, 2012.
25. Horan TC, Andrus M, Dudeck M. CDC/NHSN surveillance definition of healthcare-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36:309-332. (Pubitemid 351763841)
26. Baron E, Peterson L, Finegold S. Organisms encountered in the urinary tract. In: Baron E, Peterson L, Finegold S, eds. Bailey and Scott's Diagnostic Microbiology. 9th ed. St Louis, MO: Mosby; 1994:249-257.
27. Silver S, Baillie L, Simor A. Positive urine cultures: a major cause of inappropriate antimicrobial use in hospitals? Can J Infect Dis Med Microbiol. 2009;20:107-111.
28. Rubenstein J, Schaeffer A. Managing complicated urinary tract infections: the urologic view. Infect Dis Clin N Am. 2003;17:333-351. (Pubitemid 36760186)
29. Benton T, Young R. Asymptomatic bacteriuria in the nursing home. Ann Longterm Care. 2006;14:17-22. (Pubitemid 44199284)
30. Nicolle LE, Bradley S, Colgan R, et al. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis. 2005;40:643-554.
31. Nicolle LE. Urinary tract infections in the elderly. Clin Geriatr Med. 2009;25:423-436.