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15 November 2007

Volume 45, Number 10
Clinical Infectious Diseases 2007;45:1335–1337
© 2007 by the Infectious Diseases Society of America. All rights reserved.
1058-4838/2007/4510-0013$15.00
DOI: 10.1086/522183
VIEWPOINTS

Reducing Antibiotic Overuse: A Call for a National Performance Measure for Not Treating Asymptomatic Bacteriuria

Peter A. Gross1 and

Brijesh Patel2

1Department of Medicine, Hackensack University Medical Center, Hackensack, and 2University of Medicine and Dentistry of New Jersey–New Jersey Medical School, Newark, New Jersey

Positive urinary tract culture results often represent asymptomatic bacteriuria, which does not need to be treated with antimicrobial agents. Avoiding treatment of asymptomatic bacteriuria in adults should reduce the risk of development of antibiotic resistance and is consistent with the Infectious Diseases Society of America and US Preventive Services Task Force guidelines on bacteriuria. A similar approach for not treating upper respiratory illnesses with antibiotics was initiated by the Centers for Disease Control and Prevention. We propose that a hospital and ambulatory performance measure should be developed for not treating asymptomatic bacteriuria in adults. In addition, such an effort would aid hospitals in confronting the proposal of the Centers for Medicare and Medicaid Services (to be implemented in 2009) to not pay the expenses associated with catheter‐associated urinary tract infection.

Received 22 April 2007; accepted 11 July 2007; electronically published 8 October 2007.

Reprints or correspondence: Dr. Peter A. Gross, Hackensack University Medical Center, 30 Prospect Ave., Hackensack, NJ 07601 ().

Cited by

Patricia Pavese, MD; Nathalie Saurel, PharmD; José Labarère, MD; Corinne Decouchon, MD; Jean‐Philippe Vittoz, BSc; Luc Foroni, PharmD; Max Maurin, MD, PhD; Patrice François, MD, PhD. (2009) Does an Educational Session With an Infectious Diseases Physician Reduce the Use of Inappropriate Antibiotic Therapy for Inpatients With Positive Urine Culture Results? A Controlled Before‐and‐After Study •. Infection Control and Hospital Epidemiology 30:6, 596-599
Online publication date: 1-Jun-2009.
Abstract-Full Text-PDF Version (130 kB)
Matthew Cope, Manuel E. Cevallos, Richard M. Cadle, Rabih O. Darouiche, Daniel M. Musher, and Barbara W. Trautner. (2009) Inappropriate Treatment of Catheter‐Associated Asymptomatic Bacteriuria in a Tertiary Care Hospital. Clinical Infectious Diseases 48:9, 1182-1188
Online publication date: 1-May-2009.
Abstract-Full Text-PDF Version (254 kB)
P. Baglioni. (2009) Comment on: Urinary tract infection in hospitalized elderly patients in the United Kingdom: the importance of making an accurate diagnosis in the post broad-spectrum antibiotic era. Journal of Antimicrobial Chemotherapy 63:4, 846-846
Online publication date: 17-Mar-2009.
CrossRef
Tejal Gandhi, MD; Scott A. Flanders, MD; Erica Markovitz, MD; Sanjay Saint, MD, MPH; Daniel R. Kaul, MD. (2009) Importance of Urinary Tract Infection to Antibiotic Use Among Hospitalized Patients •. Infection Control and Hospital Epidemiology 30:2, 193-195
Online publication date: 1-Feb-2009.
Abstract-Full Text-PDF Version (122 kB)
David R P Guay. (2008) Contemporary Management of Uncomplicated Urinary Tract Infections. Drugs 68:9, 1169-1205
Online publication date: 1-Feb-2008.
CrossRef
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