title: Elimination of Screening Urine Cultures Prior to Elective Joint Arthroplasty.
abstract: Discontinuing routine processing of screening urine cultures prior to elective joint arthroplasty resulted in substantial reduction in urine cultures ordered and antimicrobial prescriptions for asymptomatic bacteriuria, without any significant impact on incidence of prosthetic joint infection. This simple change would be scalable across institutions with potential for significant healthcare savings.
authors.affiliation: Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Lamb
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Laura
authors.initials: L
authors.lastname: Baillie
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Pajak
authors.affiliation: Division of Orthopedics, Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada.
authors.forename: Jan
authors.initials: J
authors.lastname: Flynn
authors.affiliation: Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada.
authors.forename: Vikas
authors.initials: V
authors.lastname: Bansal
authors.affiliation: Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada.|Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.|Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, Canada.
authors.forename: Andrew
authors.initials: A
authors.lastname: Simor
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Mary
authors.initials: M
authors.lastname: Vearncombe
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, Canada.|Department of Pharmacy, Sunnybrook Health Sciences Centre, and Lesley Dan Faculty of Pharmacy,  Canada.
authors.forename: Sandra A N
authors.initials: SA
authors.lastname: Walker
authors.affiliation: Division of Orthopedics, Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada.
authors.forename: Susan
authors.initials: S
authors.lastname: Clark
authors.affiliation: Division of Orthopedics, Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Gollish
authors.affiliation: Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada.|Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, Canada.|Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Jerome A
authors.initials: JA
authors.lastname: Leis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000009:adverse effects; D017558:Elective Surgical Procedures / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D018570:Risk Assessment; D013530:Surgical Wound Infection / Q000209:etiology* / Q000517:prevention & control; D016482:Urinalysis; D014552:Urinary Tract Infections / Q000150:complications* / Q000175:diagnosis*
keywords: asymptomatic bacteriuria; joint arthroplasty.; prosthetic joint infection; urine culture