Evaluation shows diagnostic stewardship improvements in urinalysis-driven protocols, suggesting better antimicrobial use outcomes.
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.
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Keintz et al. (2026) studied this question.
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