Implementation of Urinalysis with Reflex Urine Culture to Reduce Unnecessary Urine Cultures

Abstract

Purpose: According to the AAP Pediatric Urinary Tract Infection (UTI) Clinical Practice Guidelines Action Statement, the diagnosis of a UTI is made on the basis of quantitative urine culture results in addition to evidence of pyuria and/or bacteriuria. Urine cultures sent without evidence of pyuria or bacteriuria may lead to over-treatment of asymptomatic bacteriuria. The purpose of this study was to change ordering practices to decrease the number of unnecessary urine cultures performed. Methods: …