I don't know anyone that is more excited about urine than @Sonali_Advani.
Some highlights from her great talk this morning ⬇️
#IDWeek2022
Lots of factors go into inappropriate culturing.
Physicians more driven by labs, nurses by appearance/smell.
Education can help.
#IDWeek2022
Tough group is the 3rd box.
Yep.
#IDWeek2022
How to approach that 3rd box?
Some options - some of which include some compromises.
#IDWeek2022
UA has too much information.
A urinalysis obtained for renal reasons does not need a WBC to give someone the urge to treat ASB.
#IDWeek2022
Some things to do.
Stop reporting bacteria in UAs.
Nudge to remove catheter.
#IDWeek2022
Patient and nurse expectations important.
We're missing other infections by inappropriately focusing on the urine.
Need to reframe risk - anchoring on the urine leads to lots of problems.
#IDWeek2022
UTI deprescribing framework at Duke.
Nice results.
Also helps get patients on appropriate therapy when they do need antibiotics.
#IDWeek2022
Conclusions from @Sonali_Advani
Great talk.
#IDWeek2022
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