Urinary tract infection stewardship: A urinary antibiogram and electronic medical record alert nudging narrower-spectrum antibiotics for urinary tract infections.

Maryrose R Laguio-VilaMary L StaicuMary Lourdes BrundigeJose AlcantaraHongmei YangEbbing LautenbachGhinwa Dumyati

Published in: Antimicrobial stewardship & healthcare epidemiology : ASHE (2021)

An antimicrobial stewardship intervention consisting of a urinary antibiogram and an electronic health record best-practice advisory promoted narrower-spectrum antibiotics for uncomplicated urinary tract infections in hospitalized patients. Over 20 months, the intervention significantly reduced ceftriaxone orders by 48% ( P < .001) and increased cefazolin use 19 times from baseline ( P < .001).

Keyphrases

urinary tract infection
electronic health record
clinical decision support
randomized controlled trial
primary care
healthcare
adverse drug
quality improvement