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Review
. 2024 Jun;38(2):277-294.
doi: 10.1016/j.idc.2024.03.006. Epub 2024 Apr 4.

Antibiotic Stewardship Interventions for Urinary Tract Infections in Outpatient Settings: A Narrative Review

Larissa Grigoryan  1 , Barbara W Trautner  2
Affiliations
Review

Antibiotic Stewardship Interventions for Urinary Tract Infections in Outpatient Settings: A Narrative Review

Larissa Grigoryan et al. Infect Dis Clin North Am. 2024 Jun.

Abstract

Inappropriate antibiotic choice or duration of therapy for urinary tract infections (UTIs) in outpatients is common and is a major contributor to antibiotic overuse. Most studies on outpatient antibiotic stewardship for UTIs follow a pre-design or post-design with a multifaceted intervention; these trials generally have found improvement in appropriateness of antibiotic use for UTI. Audit and feedback was one of the most commonly employed strategies across these trials but may not be sustainable. Future research on antibiotic stewardship for UTIs in outpatients should measure both effectiveness and implementation success.

Keywords: Antibiotic stewardship; Audit and feedback; Outpatient; Primary care; Urinary tract infection (UTI).

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Conflict of interest statement

Disclosure The authors declare no conflicts of interest or financial disclosures pertaining to this publication. B.W. Trautner’s work is supported in part by the US Department of Veterans Affairs Health Services Research and Development Service (grant no. CIN 13-413) at the Center for Innovations in Quality, Effectiveness, and Safety. B.W. Trautner and L.Grigoryan: This work was supported by grant number R01HS029489 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality.

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