title: Evaluation of a Novel Intervention to Reduce Unnecessary Urine Cultures in Intensive Care Units at a Tertiary Care Hospital in Maryland, 2011-2014.
abstract: We assessed the impact of a reflex urine culture protocol, an intervention aimed to reduce unnecessary urine culturing, in intensive care units at a tertiary care hospital. Significant decreases in urine culturing rates and reported rates of catheter-associated urinary tract infection followed implementation of the protocol.
authors.affiliation: 1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.
authors.forename: Lauren
authors.initials: L
authors.lastname: Epstein
authors.affiliation: 1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Edwards
authors.affiliation: 1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.
authors.forename: Alison Laufer
authors.initials: AL
authors.lastname: Halpin
authors.affiliation: 3University of Maryland Medical Center,Baltimore,Maryland.
authors.forename: Michael Anne
authors.initials: MA
authors.lastname: Preas
authors.affiliation: 4Maryland Department of Health and Mental Hygiene,Baltimore,Maryland.
authors.forename: David
authors.initials: D
authors.lastname: Blythe
authors.affiliation: 5University of Maryland School of Medicine,Baltimore,Maryland.
authors.forename: Anthony D
authors.initials: AD
authors.lastname: Harris
authors.affiliation: 3University of Maryland Medical Center,Baltimore,Maryland.
authors.forename: David
authors.initials: D
authors.lastname: Hunt
authors.affiliation: 5University of Maryland School of Medicine,Baltimore,Maryland.
authors.forename: J Kristie
authors.initials: JK
authors.lastname: Johnson
authors.affiliation: 3University of Maryland Medical Center,Baltimore,Maryland.
authors.forename: Mala
authors.initials: M
authors.lastname: Filippell
authors.affiliation: 1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.
authors.forename: Carolyn V
authors.initials: CV
authors.lastname: Gould
authors.affiliation: 5University of Maryland School of Medicine,Baltimore,Maryland.
authors.forename: Surbhi
authors.initials: S
authors.lastname: Leekha
mesh_terms: D055499:Catheter-Related Infections / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007362:Intensive Care Units / Q000458:organization & administration*; D008396:Maryland; D062606:Tertiary Care Centers; D019564:Unnecessary Procedures; D016482:Urinalysis / Q000639:trends*; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000453:epidemiology*
references.citation: Arch Intern Med. 2000 Mar 13;160(5):673-7
references.pmid: 10724053
references.citation: Arch Intern Med. 2000 Mar 13;160(5):678-82
references.pmid: 10724054
references.citation: Clin Infect Dis. 2009 May 1;48(9):1182-8
references.pmid: 19292664
references.citation: J Am Coll Surg. 2013 Jul;217(1):162-6
references.pmid: 23639202
references.citation: Infect Control Hosp Epidemiol. 2014 Sep;35 Suppl 2:S32-47
references.pmid: 25376068