Category: Federal Forum Posters
Purpose: Urinary tract infections (UTIs) are one of the most common bacterial infections. With high recurrence rates and increasing antimicrobial resistance that threaten to escalate the economic burden, evidence-based antibiotic therapy is vital for proper treatment and antibacterial stewardship. Patients are often treated improperly for asymptomatic bacteriuria and frequently treated for extended durations with broad-spectrum antibiotics. Academic detailing was performed face-to-face with providers to encourage evidence-based decision making, and, subsequently, an institutional treatment guideline was developed. The purpose of this project is to evaluate the effectiveness of provider education and use of an institutional treatment algorithm on UTI diagnosis and treatment.
Methods: In 2017, a retrospective chart review was conducted by reviewing electronic medical records and collecting data that focused on patients’ symptoms, urine culture data, antibiotic selection and duration of therapy. This retrospective review resulted in academic detailing and implementation of an institutional-specific, treatment guideline for urinary tract infections. The current research project will consist of a retrospective chart review of identified patients to analyze antibiotic drug selection, dose, frequency, and duration through available information in the electronic medical record. The review will be conducted for the time period following academic detailing as well as the time period after implementation of the treatment algorithm. Definitive microbiology data or other reasons for changes in antibiotic therapy will be recorded when available. Patients identified will be evaluated for initial antibiotic treatment, changes made to antibiotic treatment, reason for those changes, and the duration of treatment. With these results, treatment success and antibiotic selection will also be evaluated.
Results: not applicable
Conclusion: not applicable
John Riles– PGY1 Pharmacy Resident, Birmingham VA Medical Center, Vestavia Hills, AL