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...
 
/lp/springer_journal/antimicrobial-stewardship-efforts-to-improve-management-of-uaPZHCWH3V
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
D.O.I.
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.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off