1514. Clinical Decision Making in Suspected Urinary Tract Infection in Hospitalized Patients: Which Factors Lead to Treatment and How Would Reflex Urine Cultures Impact Diagnosis?

摘要

BackgroundWhile urinary tract infections (UTIs) are frequently encountered in clinical practice, the clinical decision-making involved in the diagnosis of hospital-acquired UTIs is not well described in the literature. The purpose of our study was to identify the clinical data most commonly used to diagnose hospitalized patients with UTI and to investigate the potential impact that a reflex urine culture model (whereby urine cultures are only performed if a specific urinalysis [UA] or microscopy threshold is reached) could have on diagnosis.