ARTICLE: An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria

AUTHORS: Michael DanielSara Keller, Mohammad Mozafarihashjin, Amit Pahwa, Christine Soong

JOURNAL: JAMA Intern Med. 2018 Feb 1;178(2):271-276. doi: 10.1001/jamainternmed.2017.7290.


Treatment of asymptomatic bacteriuria (ASB) frequently lacks appropriate indication, yet remains prevalent across settings. Numerous guidelines, professional societies, and campaigns such as Choosing Wisely advocate against this low-value practice. Efforts aimed at reducing unnecessary treatment of ASB demonstrate improved costs, and avoidable harm without increased risk of adverse events. We propose an evidence-based implementation guide to aid practitioners in reducing inappropriate treatment of ASB.

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