Antibiotic Stewardship in Urinary Tract Infection Therapy

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Introduction: Urinary tract infections (UTI) are common reasons women are treated in the primary care settings. But UTI therapy often does not follow the most current evidence-based clinical practice guidelines (CPG). Antibiotic stewardship for primary care providers (PCP) is recommended by the Centers for Disease Control and Infectious Diseases Society of America. It is important to analyze clinic level antibiotic stewardship for appropriate antibiotic therapy for UTI. Review of Evidence: Research supports four main elements of outpatient antibiotics stewardship: commitment, action for policy and practice, tracking and reporting, and education and expertise. When PCP monitor prescribing practices within a clinic, data can be gathered, and feedback given that allows for assessment of prescribing practices and education to reinforce the use of evidence-based CPGs. These practices can help improve discernment related to antibiotic stewardship. Implementation plan: A gap analysis was conducted to review current, internal data related to antibiotics prescribed for UTI therapy. A comparison of current data to CPG determined the percentage of prescriptions that align with CPG. A two-fold intervention consisted of 1.) Education of PCP on the CPG related to UTI therapy; 2.) Implementation into practice of the CPG related to UTI therapy. Evaluation: Pre and post intervention chart review data compared effectiveness of the practice change education. Conclusion: The percentage of providers that more closely followed CPG related to antibiotics in UTI therapy did increase.

Urinary tract infections, Antibiotics, Prescription writing