Association of Increased Colony-Count Threshold for Urinary Pathogens in Hospitalized Patients With Antimicrobial Treatment

Marc-Andre Smith; Robert Puckrin; Philip W Lam; Michael J Lamb; Andrew E Simor; Jerome A Leis

doi:10.1001/jamainternmed.2019.0188

Association of Increased Colony-Count Threshold for Urinary Pathogens in Hospitalized Patients With Antimicrobial Treatment

JAMA Intern Med. 2019 Jul 1;179(7):990-992. doi: 10.1001/jamainternmed.2019.0188.

Authors

Marc-Andre Smith^{1

2}, Robert Puckrin³, Philip W Lam^{3

4}, Michael J Lamb³, Andrew E Simor^{2

3

4}, Jerome A Leis^{1

3

4}

Affiliations

¹ Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Ontario, Canada.
² Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
³ Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
⁴ Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Abstract

This time series study evaluates whether increasing the threshold for identifying uropathogens is associated with a decrease in antimicrobial treatment.

MeSH terms

Anti-Bacterial Agents*
Asymptomatic Infections
Colony Count, Microbial
Humans
Inappropriate Prescribing / prevention & control*
Medical Overuse*
Urinary Tract Infections / diagnosis*
Urine / microbiology*

Substances

Anti-Bacterial Agents