Category: Federal Forum Posters
Purpose: Inappropriate use of antibiotics can lead to antimicrobial resistance, adverse drug effects and increased health care costs. Properly distinguishing between catheter associated asymptomatic bacteriuria (CA-ASB) and catheter associated urinary tract infections (CA-UTI) is important for initiating appropriate treatment strategies. The aim of this project is to evaluate the rate in which antibiotic use at the VA Community Living Center (CLC) deviates from current antimicrobial guidelines for CA-UTI.
Methods: A retrospective chart review will be performed on Veterans residing at the CLC. Charts will be selected for review if a Veteran resided at the CLC, had an order for a urinary catheter, a diagnosis of a UTI via an ICD-10 code, and an order for antibiotics specifically for treatment of a UTI, between March 1, 2018 to September 30, 2018. Electronic medical records will be used to collect data on demographics, symptoms related to UTI, urine cultures and sensitivities, initiation of antibiotics in relation to urine culture results, any noted antibiotic resistance of the bacteria, and length of antibiotic treatment. Data collected will be evaluated to determine if antibiotic prescribing for UTIs follow current antimicrobial guideline recommendations, urine culture trends, and the number of Veterans who develop UTIs due to antibiotic resistant organisms.
Results: not applicable
Conclusion: not applicable
Kayla Burnette– Pharmacy Resident, Veterans Affairs Portland Healthcare System, Beaverton, OR