Not everyone is special: evaluation of indication in a urinalysis-driven reflex urine culture protocol at an academic medical center

Infection Control and Hospital Epidemiology 2026 Open access

Read full text
Authors: Mackenzie Rae Keintz, Jasmine Riviere Marcelin, Mark E. Rupp, Trevor Van Schooneveld
DOI: 10.1017/ice.2026.10419
Cited by: 1
References: 8

Abstract

Asymptomatic bacteriuria (ASB) frequently results in inappropriate antimicrobial use. Urinalysis (UA)-driven reflex urine culture order sets can reduce inappropriate urine cultures. Most special indications on free text overrides within a (UA)-driven reflex culture protocol were inappropriately defined and rarely symptom-based. Eliminating the "other" indication could strengthen diagnostic stewardship and reduce unnecessary urine cultures.

Fields of Study & Subjects

Urinary Tract Infections Management Pediatric Urology and Nephrology Studies Kidney Stones and Urolithiasis Treatments

Publication details

Journal / source
Infection Control and Hospital Epidemiology
Publisher
Cambridge University Press (CUP)
Volume
47
Issue
4
Pages
417–420
Publication date
3 March 2026
Language
EN