Thread by @NateShivelyMD

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