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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

Published online by Cambridge University Press:  02 January 2015

Patricia Pavese ,
Nathalie Saurel ,
José Labarère ,
Corinne Decouchon ,
Jean-Philippe Vittoz ,
Luc Foroni ,
Max Maurin  and
Patrice François
Patricia Pavese
Affiliation:
Departments of Infectious Diseases and Tropical Medicine, Grenoble, France
Nathalie Saurel
Affiliation:
Pharmacy, Grenoble, France
José Labarère*
Affiliation:
Quality of Care Unit, Grenoble, France Grenoble University Hospital, and Techniques de l'Ingénierie Médicale et de la Complexité (TIMC), unité mixte de recherche 5525, Centre National de la Recherche Scientifique (CNRS), Joseph Fourier University, Grenoble, France
Corinne Decouchon
Affiliation:
Departments of Infectious Diseases and Tropical Medicine, Grenoble, France
Jean-Philippe Vittoz
Affiliation:
Quality of Care Unit, Grenoble, France
Luc Foroni
Affiliation:
Pharmacy, Grenoble, France
Max Maurin
Affiliation:
Laboratory of Clinical Microbiology, Grenoble, France
Patrice François
Affiliation:
Quality of Care Unit, Grenoble, France Grenoble University Hospital, and Techniques de l'Ingénierie Médicale et de la Complexité (TIMC), unité mixte de recherche 5525, Centre National de la Recherche Scientifique (CNRS), Joseph Fourier University, Grenoble, France
*
Quality of Care Unit, Grenoble University Hospital, Pavilion Taillefer, CHU BP 217, 38043 Grenoble CEDEX 9, France ([email protected])
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Abstract

In this controlled before-and-after study involving 19 departments in a university-affiliated hospital, a single 1-hour educational session delivered by an infectious diseases physician reduced the use of inappropriate antibiotic therapy for inpatients with positive urine culture Results. Further study is warranted to assess the long-term effect of this intervention.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 6 , June 2009 , pp. 596 - 599
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.MacDougall, C, Polk, RE. Variability in rates of use of antibacterials among 130 US hospitals and risk-adjustment models for interhospital comparison. Infect Control Hosp Epidemiol 2008;29:203–211.CrossRefGoogle ScholarPubMed
2.Gross, PA, Patel, B. Reducing antibiotic overuse: a call for a national performance measure for not treating asymptomatic bacteriuria. Clin Infect Dis 2007;45:1335–1337.Google Scholar
3.Martinez, MA, Inglada, L, Ochoa, C, Villagrasa, JR; The Spanish Study Group on Antibiotic Treatments. Assessment of antibiotic prescription in acute urinary tract infections in adults. J Infect 2007;54:235–244.Google Scholar
4.Agence Française de Sécurité Sanitaire des Produits de Santé. Diagnostic et antibiothérapie des infections urinaires bactériennes communautaires chez l’adulte: cystite aiguë simple, cystite compliquée, cystite récidivante, pyélonéphrite aiguë simple, pyélonéphrite aiguë compliquée, prostatite aiguë, infections urinaires de la femme enceinte. Paris, France: Agence Française de Sécurité Sanitaire des Produits de Santé, 2008. Available at: http://www.afssaps.fr/content/download/8252/85655/version/1 /file/reco -antibiotherapié-infections-urinaire-adulte.pdf. Accessed January 2, 2009.Google Scholar
5.Wilson, ML, Gaido, L. Laboratory diagnosis of urinary tract infections in adult Patients. Clin Infect Dis 2004;38:1150–1158.Google Scholar
6.Liu, H, Mulholland, SG. Appropriate antibiotic treatment of genitourinary infections in hospitalized Patients. Am J Med 2005;118:14S–20S.CrossRefGoogle ScholarPubMed
7.Meiekos, MD, Naber, KG. Complicated urinary tract infections. Int J Antimicrob Agents 2000;15:247–256.Google Scholar
8.Nicolle, LE, Bradley, S, Colgan, R, Rice, JC, Schaeffer, A, Hooton, TM. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005;40:643–654.Google Scholar
9.Dellit, TH, Owens, RC, McGowan, IE Jr, et al.Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44:159–177.Google Scholar
10.Hermanides, HS, Hulscher, ME, Schouten, JA, Prins, JM, Geerlings, SE. Development of quality indicators for the antibiotic treatment of complicated urinary tract infections: a first step to measure and improve care. Clin Infect Dis 2008;46:703–711.Google Scholar