HSR&D Citation Abstract
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Bacteriuria in older adults triggers confusion in healthcare providers: A mindful pause to treat the worry.
Amenta EM, Jump RLP, Trautner BW. Bacteriuria in older adults triggers confusion in healthcare providers: A mindful pause to treat the worry. Antimicrobial stewardship & healthcare epidemiology : ASHE. 2023 Jan 9; 3(1):e4.
The evidence base for refraining from screening for or treating asymptomatic bacteriuria (ASB) in older adults is strong, but both practices remain prevalent. Clinical confusion over how to respond to a change from baseline, when to order a urinalysis and urine culture, and what to do with a positive urine culture fuels unnecessary antibiotic use for ASB. If the provider can take a mindful pause to apply evidenced-based assessment tools, the resulting increased clarity in how to manage the situation can reduce overtreatment of ASB.