Description
Review of urine cultures and commparing to pateint symptoms.
Core Elements
Education
Educating clinicians about resistance and optimal prescribing.
Leadership Commitment
Dedicating necessary human, financial and information technology resources.
Tracking
Monitoring antibiotic prescribing and resistance patterns.
PDSA Cycles
Progress on PDSA Cycle 1
Collect and review urine cultures. Started on May 1, 2022.
Compare the urine culture orders to the ER culture log. Collecting data for June and July.
Reviewed patient visits from Month
found — percentage of patients trated but had negative cultures
number of reflected culture
how may cultures reviewed in a time period.
In May: 81 urine cultures, 49 were positive. 28 negative.
Of 28 negative results had 7 patients that were treated w/ abx. 4 had abx stopped after negative culture. Prescribers were contacted and guidance provided on ASB.
For 42/49 positive cultures were treated on discharge and 10 physicians were contact and 7/10 physicians adjusted abx.
Provided education on appropriately classifying urogenital flora as negative culture results to nurses and pharmacists.
conclusions:
develop role for pharmacist in the ED to closely follow culture results and continue to effect patient care.