Refining reflex urine culture testing in the ED
Screening for urinary tract infections is often performed by urinalysis (UA) which measures specific urine elements such as nitrites, white blood cells (WBC), and leukocyte esterase (LE). Education on when to screen for and treat a UTI, based on Infectious Disease Society of America guidelines, was...
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| Veröffentlicht in: | The American journal of emergency medicine 2019-07, Vol.37 (7), p.1380-1382 |
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| container_title | The American journal of emergency medicine |
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| creator | Jaeger, Cassie Waymack, James Sullivan, Paul Lankala, Shreya Petersen, Lindsey Coultas, Casey Griffen, David |
| description | Screening for urinary tract infections is often performed by urinalysis (UA) which measures specific urine elements such as nitrites, white blood cells (WBC), and leukocyte esterase (LE). Education on when to screen for and treat a UTI, based on Infectious Disease Society of America guidelines, was provided at Emergency Medicine department meetings to ED attending physicians, administration and leadership, and midlevel providers [1-4]. Providing education on when it is appropriate to screen for and treat a UTI, updating pre-checked order sets, and increasing reflex to culture thresholds led to a decreased number of negative urine cultures, reducing the high cost of quality waste from inappropriate urine culture testing in the ED. |
| doi_str_mv | 10.1016/j.ajem.2018.12.037 |
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Education on when to screen for and treat a UTI, based on Infectious Disease Society of America guidelines, was provided at Emergency Medicine department meetings to ED attending physicians, administration and leadership, and midlevel providers [1-4]. 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| ispartof | The American journal of emergency medicine, 2019-07, Vol.37 (7), p.1380-1382 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Anti-Bacterial Agents - therapeutic use Antibiotics Antimicrobial Stewardship Bacteriological Techniques - methods Bacteriological Techniques - standards Cell culture Cost control Education Emergency medical care Emergency medical services Emergency Service, Hospital - statistics & numerical data Esterase Humans Illinois Infectious diseases Lean six sigma Leukocytes Nitrites Unnecessary laboratory testing Urinalysis Urinalysis - economics Urinalysis - statistics & numerical data Urinalysis with reflex to culture Urinary tract Urinary tract infection Urinary tract infections Urinary Tract Infections - diagnosis Urine |
| title | Refining reflex urine culture testing in the ED |
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