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住院退伍军人的尿液培养:撒网过宽?

Urine cultures among hospitalized veterans: casting too broad a net?

作者信息

Drekonja Dimitri M, Gnadt Christina, Kuskowski Michael A, Johnson James R

机构信息

Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota.

出版信息

Infect Control Hosp Epidemiol. 2014 May;35(5):574-6. doi: 10.1086/675829. Epub 2014 Mar 14.

DOI:10.1086/675829
PMID:24709728
Abstract

Since detection of asymptomatic bacteriuria among inpatients often leads to inappropriate antimicrobial treatment, we studied why urine cultures were ordered and correlates of treatment. Most cultures were obtained from patients without urinary complaints and a minority from asymptomatic patients. High-count bacteriuria, not clinical manifestations, appeared to trigger most antimicrobial use.

摘要

由于住院患者中无症状菌尿的检测常常导致不恰当的抗菌治疗,我们研究了进行尿培养的原因以及治疗的相关因素。大多数培养样本来自无泌尿系统症状的患者,少数来自无症状患者。似乎是高菌尿计数而非临床表现引发了大多数抗菌药物的使用。

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Urine cultures among hospitalized veterans: casting too broad a net?住院退伍军人的尿液培养:撒网过宽?
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引用本文的文献

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Leveraging diagnostic stewardship within antimicrobial stewardship programmes.在抗菌药物管理计划中利用诊断管理
Drugs Context. 2023 Feb 20;12. doi: 10.7573/dic.2022-9-5. eCollection 2023.
3
Conditional reflex to urine culture: Evaluation of a diagnostic stewardship intervention within the Veterans' Affairs and Centers for Disease Control and Prevention Practice-Based Research Network.
尿液培养的条件反射:退伍军人事务部和疾病控制与预防中心基于实践的研究网络中诊断管理干预的评估。
Infect Control Hosp Epidemiol. 2021 Feb;42(2):176-181. doi: 10.1017/ice.2020.400. Epub 2020 Aug 25.
4
Effect of urine reflex culturing on rates of cultures and infections in acute and long-term care.尿液反射培养对急性和长期护理中培养物和感染率的影响。
Antimicrob Resist Infect Control. 2020 Jun 29;9(1):96. doi: 10.1186/s13756-020-00762-1.
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Advances and Challenges in the Diagnosis and Treatment of Urinary Tract Infections: the Need for Diagnostic Stewardship.泌尿道感染诊断与治疗的进展及挑战:诊断管理的必要性
Curr Infect Dis Rep. 2019 Mar 5;21(4):11. doi: 10.1007/s11908-019-0668-7.
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Association of Screening and Treatment for Preoperative Asymptomatic Bacteriuria With Postoperative Outcomes Among US Veterans.美国退伍军人中术前无症状菌尿的筛查和治疗与术后结局的关联。
JAMA Surg. 2019 Mar 1;154(3):241-248. doi: 10.1001/jamasurg.2018.4759.
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