Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Antimicrobial Stewardship Efforts to Improve Management of Uncomplicated Urinary Tract Infections in the Ambulatory Care Setting: a Review

Antimicrobial Stewardship Efforts to Improve Management of Uncomplicated Urinary Tract Infections... Purpose of the Review Outpatient practice sites prescribe more antibiotics than any other healthcare setting contributing to the increasing rate of drug-resistant infections in the USA. Until the release of the Centers for Disease Control and Prevention’sCoreElementsin 2016, outpatient antimicrobial stewardship (AMS) was largely overlooked. The current review seeks to discuss recent AMS interventions for uncomplicated urinary tract infection (UTI) in the outpatient setting and how they relate to the core elements. Recent Findings Evidence-based methods for UTI in the outpatient setting include pharmacist-review of urine cultures, provider education, clinical decision support, sus- ceptibility testing, and formulary restriction. These interventions improve guideline adherence and decrease fluoroquinolone use. Additional improvements in outcomes occur when strategies are combined compared to implementation of a single intervention alone. Summary There is insufficient evidence to universally recommend one intervention for outpatient practice. Studies are limited by size and design in addition to the need for 292 Antimicrobial Stewardship (A Pakyz, Section Editor) validation across the spectrum of outpatient settings. Therefore, outpatient stewardship teams should consider which strategy is most feasible and effective for their respective site. Most importantly, it is still unknown if improvements in adherence to clinical guidelines and reductions of fluoroquinolone use http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Treatment Options in Infectious Diseases Springer Journals

Antimicrobial Stewardship Efforts to Improve Management of Uncomplicated Urinary Tract Infections in the Ambulatory Care Setting: a Review

Loading next page...
1
 
/lp/springer-journals/antimicrobial-stewardship-efforts-to-improve-management-of-uaPZHCWH3V

References (43)

Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Infectious Diseases
eISSN
1534-6250
DOI
10.1007/s40506-018-0150-3
Publisher site
See Article on Publisher Site

Abstract

Purpose of the Review Outpatient practice sites prescribe more antibiotics than any other healthcare setting contributing to the increasing rate of drug-resistant infections in the USA. Until the release of the Centers for Disease Control and Prevention’sCoreElementsin 2016, outpatient antimicrobial stewardship (AMS) was largely overlooked. The current review seeks to discuss recent AMS interventions for uncomplicated urinary tract infection (UTI) in the outpatient setting and how they relate to the core elements. Recent Findings Evidence-based methods for UTI in the outpatient setting include pharmacist-review of urine cultures, provider education, clinical decision support, sus- ceptibility testing, and formulary restriction. These interventions improve guideline adherence and decrease fluoroquinolone use. Additional improvements in outcomes occur when strategies are combined compared to implementation of a single intervention alone. Summary There is insufficient evidence to universally recommend one intervention for outpatient practice. Studies are limited by size and design in addition to the need for 292 Antimicrobial Stewardship (A Pakyz, Section Editor) validation across the spectrum of outpatient settings. Therefore, outpatient stewardship teams should consider which strategy is most feasible and effective for their respective site. Most importantly, it is still unknown if improvements in adherence to clinical guidelines and reductions of fluoroquinolone use

Journal

Current Treatment Options in Infectious DiseasesSpringer Journals

Published: Feb 13, 2018

There are no references for this article.