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Review
. 2018 Feb 1;178(2):271-276.
doi: 10.1001/jamainternmed.2017.7290.

An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria

Michael Daniel  1 , Sara Keller  1   2   3 , Mohammad Mozafarihashjin  4   5 , Amit Pahwa  1   6 , Christine Soong  7   8   9
Affiliations
Review

An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria

Michael Daniel et al. JAMA Intern Med. .

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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