1st Congress of Medicine and Health 2024

Inappropriate urine cultures contribute significantly to unnecessary healthcare costs, overdiagnosis of urinary tract infection (UTI) and the development of antimicrobial resistance.The objective of this study is to assess the effectiveness of educational intervention in changing clinician's behaviour on ordering urine cultures in accordance with diagnostic stewardship.The study was conducted over a five month period in medical wards of a teaching hospital.Educational interventions included education sessions, distribution of pocket cards summarising urinary tract infection diagnostic criteria, and clinicians receiving real time feedback on ordering practices.Pre-and post-intervention data were obtained to evaluate the behavioural changes and appropriateness of urine culture ordering.A total of 349 hospitalised patients with 401 urine cultures were analysed.The median age was 68 years old, 51.1% male and 50.2% midstream urine specimens.The number of urine cultures ordered decreased significantly by 55.2% post-intervention (P <0.05).In addition, the amount of urine cultures ordered for panculture workout decreased by 52% (IRR: 0.52, P = 0.07).Urine culture orders for UTI symptoms increased from 19.1% before intervention to 37% after intervention (P < 0.05).The reduction AB4