An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria.

Daniel, Michael; Keller, Sara; Mozafarihashjin, Mohammad; Pahwa, Amit; Soong, Christine · JAMA Intern Med · 2018

review · Level V

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Abstract

Treatment of asymptomatic bacteriuria (ASB) frequently lacks appropriate indication, yet remains prevalent across settings. Numerous guidelines, professional societies, and campaigns such as Choosing Wisely advocate against this low-value practice. Efforts aimed at reducing unnecessary treatment of ASB demonstrate improved costs, and avoidable harm without increased risk of adverse events. We propose an evidence-based implementation guide to aid practitioners in reducing inappropriate treatment of ASB.

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