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Medicine Matters Home Article of the Week An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria

An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria

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.

Abstract

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.

For a link to the full article, click here: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2664517?resultClick=1&redirect=true

Link to abstract online: https://www.ncbi.nlm.nih.gov/pubmed/?term=An+Implementation+Guide+to+Reducing+Overtreatment+of+Asymptomatic+Bacteriuria

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Kelsey Bennett