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改变文化:城市安全网社区医院中诊断管理干预对尿培养检测及导尿管相关尿路感染预防的影响

Changing the culture: impact of a diagnostic stewardship intervention for urine culture testing and CAUTI prevention in an urban safety-net community hospital.

作者信息

Mena Lora Alfredo J, Hua Jessica, Ali Mirza, Krill Candice, Takhsh Eden, Bleasdale Susan C

机构信息

University of Illinois at Chicago, Chicago, IL, USA.

Saint Anthony Hospital, Chicago, IL, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 Jan 29;4(1):e14. doi: 10.1017/ash.2024.12. eCollection 2024.

Abstract

Cultures from urinary catheters are often ordered without indication, leading to possible misdiagnosis of catheter-associated urinary tract infections (CAUTI), increasing antimicrobial use, and . We implemented a diagnostic stewardship intervention for urine cultures from catheters in a community hospital that led to a reduction in cultures and CAUTIs.

摘要

通常在没有指征的情况下就要求进行导尿管培养,这可能导致对导管相关尿路感染(CAUTI)的误诊,增加抗菌药物的使用,以及……我们在一家社区医院对导尿管尿液培养实施了诊断管理干预措施,这使得培养次数和CAUTIs有所减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b808/10897718/2dc06cf83869/S2732494X24000123_fig1.jpg

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