JOURNAL ARTICLE

Risk factors for treatment of asymptomatic bacteriuria in a rural health system.

  • Published In: American Journal of Health-System Pharmacy, 2024, v. 81. P. S180 1 of 3

  • Database: Academic Search Ultimate 2 of 3

  • Authored By: Rang, Miranda; Nasser, Rana; Gabor, Rachel; Whitfield, Philip 3 of 3

Abstract

This article focuses on the high rate of inappropriate antimicrobial treatment for asymptomatic bacteriuria (ASB) in hospitalized patients within a rural Wisconsin health system. The retrospective study of 137 adults with ASB found a treatment rate of 78.1%, despite guidelines recommending against such treatment. Factors independently associated with antimicrobial use included nonspecific symptoms such as fatigue and altered mentation, as well as urinalysis findings of pyuria and nitrite positivity, with pyuria showing the strongest association. The study highlights the need for targeted antimicrobial stewardship interventions addressing knowledge gaps, cognitive biases, and diagnostic practices to reduce unnecessary antibiotic use in rural healthcare settings.

Additional Information

  • Source:American Journal of Health-System Pharmacy. 2024/12, Vol. 81, pS180
  • Document Type:Article
  • Subject Area:Health and Medicine
  • Publication Date:2024
  • ISSN:1079-2082
  • DOI:10.1093/ajhp/zxae200
  • Accession Number:181072109
  • Copyright Statement:Copyright of American Journal of Health-System Pharmacy is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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