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Published on: August 20, 2021
Navigating reflex urine culture practices in community hospitals: Need for a validated approach
Dorothy Ling1, Jessica Seidelman1, Elizabeth Dodds-Ashley1
1Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, NC; Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC.
Abstract:
We performed a descriptive study of reflex urine culture (RUC) practices across 51 community hospitals in southeastern United States. We found that 26 unique reflexing criteria were used in 28 hospitals. Only 14% hospitals of hospitals that offered RUC restricted it to specific populations (eg, emergency room). Our data suggest that the current RUC approach in community hospitals warrants further validation of urinalysis criteria and identification of specific populations in which RUC performs best.
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