Diagnosis of urinary tract infections: need for a reflective rather than reflexive approach

With the increased attention to catheter-associated urinary tract infection (CAUTI), the vast majority of hospitals in the United States have steered their attention to “stewardship of culturing” to reduce the detection of asymptomatic catheter-associated bacteriuria. Prior to the intervention, a ur...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2019-07, Vol.40 (7), p.1-835
Main Authors: Fakih, Mohamad G, Advani, Sonali D, Vaughn, Valerie M
Format: Article
Language:English
Subjects:
Asymptomatic
Catheters
Fever
Intervention
Medical instruments
Nursing
Patients
Urinalysis
Urinary tract diseases
Urinary tract infections
Urine
Urogenital system
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Summary:With the increased attention to catheter-associated urinary tract infection (CAUTI), the vast majority of hospitals in the United States have steered their attention to “stewardship of culturing” to reduce the detection of asymptomatic catheter-associated bacteriuria. Prior to the intervention, a urinalysis would be reflexed to culture if it included any protein, blood, nitrite, or leukocyte-esterase positive results. UTI is suspected based on focal signs and symptoms attributed to the urinary tract, or systemic findings in patients at risk with no other apparent source of infection.
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2019.98