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Published on: August 30, 2018
Optimizing Antibiotic Use for Urinary Tract Infections: A Qualitative Assessment of Regular Prescribing Practices
Je Eun Song1, Yongseop Lee2, Hyo Won Park3
1Department of Internal Medicine, InJe University Ilsan Paik Hospital, Goyang, Korea.
Yonsei Medical Journal
|May 27, 2026
Summary
Regular qualitative assessments significantly improved antibiotic prescriptions for urinary tract infections (UTIs). This antibiotic stewardship strategy enhanced prescribing appropriateness without adverse effects.
Area of Science:
- Infectious Diseases
- Antimicrobial Stewardship
- Healthcare Quality Improvement
Background:
- Antibiotic resistance necessitates optimized antibiotic use.
- Urinary tract infections (UTIs) are common, requiring appropriate antimicrobial therapy.
Purpose of the Study:
- To identify strategies for improving antibiotic prescribing for UTIs.
- To evaluate the impact of quarterly qualitative assessments on UTI antibiotic prescriptions.
Main Methods:
- Retrospective analysis of 1473 antibiotic prescriptions for UTIs (July 2022-June 2023).
- Quarterly qualitative assessments of antibiotic selection, dosage, route, and duration.
- Feedback provided to medical staff to enhance prescription practices.
Main Results:
- Prescribing appropriateness for lower UTIs increased from 28.6% to 68.0% (p=0.010).
- Prescribing appropriateness for upper UTIs increased from 55.9% to 79.0% (p=0.043).
- Overall appropriateness improved from 47.1% to 75.5% (p=0.013) without impacting mortality or length of stay.
Conclusions:
- Regular qualitative assessments enhance antibiotic prescribing for UTIs.
- This approach is a valuable tool for antibiotic stewardship.
- Further research is needed on long-term impact and broader applicability.
Keywords:
Antibiotic stewardshipantibiotic prescribinghealthcare interventionprescription appropriatenessqualitative assessmenturinary tract infectionsMore Related Videos
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