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. 2020 Dec;48(12):1549-1551.
doi: 10.1016/j.ajic.2020.06.218. Epub 2020 Jul 4.

Navigating reflex urine culture practices in community hospitals: Need for a validated approach

Dorothy Ling  1 , Jessica Seidelman  1 , Elizabeth Dodds-Ashley  1 , Sarah Lewis  1 , Rebekah W Moehring  1 , Deverick J Anderson  1 , Sonali Advani  2
Affiliations

Navigating reflex urine culture practices in community hospitals: Need for a validated approach

Dorothy Ling et al. Am J Infect Control. 2020 Dec.

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.

Keywords: Asymptomatic bacteriuria; Diagnostic stewardship; Laboratory stewardship; Stewardship of culturing.

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