{"title":"Quality Improvement Interventions and Implementation Strategies for Urine Culture Stewardship in the Acute Care Setting: Advances and Challenges.","authors":"Sonali Advani, Valerie M Vaughn","doi":"10.1007/s11908-021-00760-3","DOIUrl":"10.1007/s11908-021-00760-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>The goal of this article is to highlight how and why urinalyses and urine cultures are misused, review quality improvement interventions to optimize urine culture utilization, and highlight how to implement successful, sustainable interventions to improve urine culture practices in the acute care setting.</p><p><strong>Recent findings: </strong>Quality improvement initiatives aimed at reducing inappropriate treatment of asymptomatic bacteriuria often focus on optimizing urine test utilization (i.e., urine culture stewardship). Urine culture stewardship interventions in acute care hospitals span the spectrum of quality improvement initiatives, ranging from strong systems-based interventions like suppression of urine culture results to weaker interventions that focus on clinician education alone. While most urine culture stewardship interventions have met with some success, overall results are mixed, and implementation strategies to improve sustainability are not well understood.</p><p><strong>Summary: </strong>Successful diagnostic stewardship interventions are based on an assessment of underlying key drivers and focus on multifaceted and complementary approaches. Individual intervention components have varying impacts on effectiveness, provider autonomy, and sustainability. The best urine culture stewardship strategies ultimately include both technical and socio-adaptive components with long-term, iterative feedback required for sustainability.</p>","PeriodicalId":48839,"journal":{"name":"Current Infectious Disease Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11908-021-00760-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39482157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Kariyawasam, A. Eshaghi, S. Perusini, R. Lau, Samir N. Patel, J. Gubbay, A. Boggild
{"title":"Surveillance for Common Arboviruses in Whole Blood of Malaria-Free Ill Returned Canadian Travelers to the Americas","authors":"R. Kariyawasam, A. Eshaghi, S. Perusini, R. Lau, Samir N. Patel, J. Gubbay, A. Boggild","doi":"10.1007/s11908-021-00762-1","DOIUrl":"https://doi.org/10.1007/s11908-021-00762-1","url":null,"abstract":"","PeriodicalId":48839,"journal":{"name":"Current Infectious Disease Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43011625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lior Ben-Zvi, Jeremy Hassan, Marah Andraous, Daniel Weltsch, Diklah Sebag, Michael Margulis, B. Bernfeld
{"title":"Diagnosis and Management of Osteomyelitis in Children","authors":"Lior Ben-Zvi, Jeremy Hassan, Marah Andraous, Daniel Weltsch, Diklah Sebag, Michael Margulis, B. Bernfeld","doi":"10.1007/s11908-021-00763-0","DOIUrl":"https://doi.org/10.1007/s11908-021-00763-0","url":null,"abstract":"","PeriodicalId":48839,"journal":{"name":"Current Infectious Disease Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49321965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Nasir, S. Sarfaraz, I. Khanum, Tehreem Ansari, A. Nasim, S. Dodani, Shobha Luxmi
{"title":"Tuberculosis in Solid Organ Transplantation: Insights from TB Endemic Areas","authors":"N. Nasir, S. Sarfaraz, I. Khanum, Tehreem Ansari, A. Nasim, S. Dodani, Shobha Luxmi","doi":"10.1007/s11908-021-00756-z","DOIUrl":"https://doi.org/10.1007/s11908-021-00756-z","url":null,"abstract":"","PeriodicalId":48839,"journal":{"name":"Current Infectious Disease Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49130583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: 2021 Update on the Clinical Management and Diagnosis of Kawasaki Disease","authors":"Frank Zhu, J. Ang","doi":"10.1007/s11908-021-00754-1","DOIUrl":"https://doi.org/10.1007/s11908-021-00754-1","url":null,"abstract":"","PeriodicalId":48839,"journal":{"name":"Current Infectious Disease Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11908-021-00754-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48898860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infectious Challenges with Novel Antibody–Based Therapies","authors":"Zeinab El Boghdadly, S. Sarwar, M. Lustberg","doi":"10.1007/s11908-021-00753-2","DOIUrl":"https://doi.org/10.1007/s11908-021-00753-2","url":null,"abstract":"","PeriodicalId":48839,"journal":{"name":"Current Infectious Disease Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2021-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11908-021-00753-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45045775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges to Reporting the Global Trends in the Epidemiology of ICU-Treated Sepsis and Septic Shock","authors":"V. Raman, K. Laupland","doi":"10.1007/s11908-021-00749-y","DOIUrl":"https://doi.org/10.1007/s11908-021-00749-y","url":null,"abstract":"","PeriodicalId":48839,"journal":{"name":"Current Infectious Disease Reports","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11908-021-00749-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49276553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}