Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study

Clin Infect Dis. 2014 Apr;58(7):980-3. doi: 10.1093/cid/ciu010. Epub 2014 Feb 26.


This proof-of-concept study demonstrates that no longer routinely reporting urine culture results from noncatheterized medical and surgical inpatients can greatly reduce unnecessary antimicrobial therapy for asymptomatic bacteriuria without significant additional laboratory workload. Larger studies are needed to confirm the generalizability, safety, and sustainability of this model of care.

Keywords: antimicrobial stewardship; asymptomatic bacteriuria; urine culture.

MeSH terms

  • Aged
  • Anti-Infective Agents / administration & dosage
  • Anti-Infective Agents / therapeutic use*
  • Asymptomatic Infections*
  • Bacteriuria / diagnosis
  • Bacteriuria / drug therapy*
  • Drug Therapy / statistics & numerical data
  • Female
  • Humans
  • Inpatients
  • Male
  • Unnecessary Procedures*
  • Urinary Tract Infections / diagnosis
  • Urinary Tract Infections / drug therapy*


  • Anti-Infective Agents