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Reducing antibiotic overuse: a call for a national performance measure for not treating asymptomatic bacteriuria.
Clin Infect Dis 2007; 45(10):1335-7CI

Abstract

Positive urinary tract culture results often represent asymptomatic bacteriuria, which does not need to be treated with antimicrobial agents. Avoiding treatment of asymptomatic bacteriuria in adults should reduce the risk of development of antibiotic resistance and is consistent with the Infectious Diseases Society of America and US Preventive Services Task Force guidelines on bacteriuria. A similar approach for not treating upper respiratory illnesses with antibiotics was initiated by the Centers for Disease Control and Prevention. We propose that a hospital and ambulatory performance measure should be developed for not treating asymptomatic bacteriuria in adults. In addition, such an effort would aid hospitals in confronting the proposal of the Centers for Medicare and Medicaid Services (to be implemented in 2009) to not pay the expenses associated with catheter-associated urinary tract infection.

Authors+Show Affiliations

Department of Medicine, Hackensack University Medical Center, Hackensack, NJ 07601, USA. pgross@humed.comNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17968830

Citation

Gross, Peter A., and Brijesh Patel. "Reducing Antibiotic Overuse: a Call for a National Performance Measure for Not Treating Asymptomatic Bacteriuria." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 45, no. 10, 2007, pp. 1335-7.
Gross PA, Patel B. Reducing antibiotic overuse: a call for a national performance measure for not treating asymptomatic bacteriuria. Clin Infect Dis. 2007;45(10):1335-7.
Gross, P. A., & Patel, B. (2007). Reducing antibiotic overuse: a call for a national performance measure for not treating asymptomatic bacteriuria. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 45(10), pp. 1335-7.
Gross PA, Patel B. Reducing Antibiotic Overuse: a Call for a National Performance Measure for Not Treating Asymptomatic Bacteriuria. Clin Infect Dis. 2007 Nov 15;45(10):1335-7. PubMed PMID: 17968830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reducing antibiotic overuse: a call for a national performance measure for not treating asymptomatic bacteriuria. AU - Gross,Peter A, AU - Patel,Brijesh, Y1 - 2007/10/08/ PY - 2007/04/22/received PY - 2007/07/11/accepted PY - 2007/10/31/pubmed PY - 2007/11/14/medline PY - 2007/10/31/entrez SP - 1335 EP - 7 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin. Infect. Dis. VL - 45 IS - 10 N2 - Positive urinary tract culture results often represent asymptomatic bacteriuria, which does not need to be treated with antimicrobial agents. Avoiding treatment of asymptomatic bacteriuria in adults should reduce the risk of development of antibiotic resistance and is consistent with the Infectious Diseases Society of America and US Preventive Services Task Force guidelines on bacteriuria. A similar approach for not treating upper respiratory illnesses with antibiotics was initiated by the Centers for Disease Control and Prevention. We propose that a hospital and ambulatory performance measure should be developed for not treating asymptomatic bacteriuria in adults. In addition, such an effort would aid hospitals in confronting the proposal of the Centers for Medicare and Medicaid Services (to be implemented in 2009) to not pay the expenses associated with catheter-associated urinary tract infection. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/17968830/Reducing_antibiotic_overuse:_a_call_for_a_national_performance_measure_for_not_treating_asymptomatic_bacteriuria_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1086/522183 DB - PRIME DP - Unbound Medicine ER -