Not everyone is special: evaluation of indication in a urinalysis-driven reflex urine culture protocol at an academic medical center

2026/03/03 by Mackenzie Rae Keintz, Jasmine R Marcelin, M. E. Rupp +1 · 1 voice
Medicine · #Urinary Tract Infections Management #Pediatric Urology and Nephrology Studies #Kidney Stones and Urolithiasis Treatments

paper · pdf · doi:10.1017/ice.2026.10419

Abstract

Asymptomatic bacteriuria (ASB) frequently results in inappropriate antimicrobial use. Urinalysis (UA)-driven reflex urine culture order sets can reduce inappropriate urine cultures. Most special indications on free text overrides within a (UA)-driven reflex culture protocol were inappropriately defined and rarely symptom-based. Eliminating the "other" indication could strengthen diagnostic stewardship and reduce unnecessary urine cultures.

Discussions

• New in ICHE: Not everyone is "special" 🦠 Free text overrides in UA driven reflex urine culture protocols are frequently misused ▶️ 97% (816/839) of "other" indications inappropriate & 83% cultures w [bsky, 8 points, 0 comments]

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