What's better for reducing unnecessary treatment of asymptomatic bacteriuria? Diagnostic stewardship or antibiotic stewardship?
@ValerieVaughnMD presenting the @SHEA_Epi featured oral abstract.
#IDWeek2022
Pathway to overuse and opportunities to intervene.
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Diagnostic stewardship metric was ASB (treated or not) / +UCx
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Antibiotic stewardship metric was ASB treated with abx / ASB and ASB treatment duration.
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Treatment of ASB went down over time.
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Diagnostic stewardship metric went down over time.
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Antibiotic stewardship metric did not for the collective of hospitals, but did for some hospitals.
I'd be curious about how stewardship programs at these hospitals differed and whether that may have had a role.
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Conclusion
Diagnostic stewardship > antibiotic stewardship for ASB.
There's likely value in work at any stage along the pathway above, but appears preventing the UCx from happening in the first place is the best bang for your buck.
Great work, @ValerieVaughnMD!
#IDWeek2022
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