Category: Federal Forum Posters
Purpose: The goal of this quality improvement project is to assess the adherence of providers in primary care clinics, community-based outpatient clinics, and the emergency department at a Veterans Affairs Medical Center to the institutional empiric therapy guidelines for the treatment of urinary tract infections in male veterans. Institutional empiric therapy guidelines recommend the use of cefpodoxime or nitrofurantoin for complicated urinary tract infections. The rate at which institution approved recommendations are followed and outcomes based on the recommended therapy versus the outcomes on those in which the recommendations are not followed needs to be assessed.
Methods: A retrospective chart review from July 1, 2017 – June 30, 2018 will be conducted through Veterans Health Information Systems and Technology Architecture Computerized Record System and Veterans Integrated Service Network 16 Outpatient Antibiotic Report. The outpatient antibiotic report will identify antimicrobial orders. Computerized record system will aid in chart review to establish if the choice of antimicrobial was for the treatment of a urinary tract infection. The primary objective is to assess rate of adherence to institutional empiric therapy guidelines for the treatment of complicated urinary tract infections. Included patients are males at least 18 years old, antimicrobial order must be from either primary care clinics, community-based outpatient clinics, or emergency department for treatment of urinary tract infection. Diagnosis of infection to be determined by symptom description in computerized record system and urinalysis, and/or urine culture. Excluded patients are those that have antibiotics prior to antimicrobial order for urinary tract infection in the preceding 30 days, urologic procedure in preceding 30 days from antimicrobial order for urinary tract infection. Assessment of clinical cure, selection of appropriate drug based upon bacterial susceptibility, correct dose for renal function, and appropriate duration of antibiotics are secondary objectives of the project.
Results: not applicable
Conclusion: not applicable
Mohammad Abotteen– Pharmacy Resident, Michael E DeBakey VA Medical Center, Houston, TX