Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention Study
Abstract BackgroundInappropriate testing of urine cultures can lead to overuse of antibiotics, antimicrobial resistance, Clostridioides difficile ObjectiveWe assessed the implementation of a clinical decision support (CDS) tool in diagnostic stewardship, focusing o...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2025-07-01
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| Series: | JMIR Medical Informatics |
| Online Access: | https://medinform.jmir.org/2025/1/e68044 |
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| author | Ahlam Alghamdi Afrah Alkazemi Alnada Ibrahim Mohammed Alraey Mohammed Alaboud Isra Farooqi Mohammad Aatif Khan Asem Allam Mohammed Alwadai Renad Alyahya Ohoud Alzahrani Hajar Y AlQahtani Amir Mohareb Muneerah Aleissa |
| author_facet | Ahlam Alghamdi Afrah Alkazemi Alnada Ibrahim Mohammed Alraey Mohammed Alaboud Isra Farooqi Mohammad Aatif Khan Asem Allam Mohammed Alwadai Renad Alyahya Ohoud Alzahrani Hajar Y AlQahtani Amir Mohareb Muneerah Aleissa |
| author_sort | Ahlam Alghamdi |
| collection | DOAJ |
| description |
Abstract
BackgroundInappropriate testing of urine cultures can lead to overuse of antibiotics, antimicrobial resistance, Clostridioides difficile
ObjectiveWe assessed the implementation of a clinical decision support (CDS) tool in diagnostic stewardship, focusing on the appropriateness of urine culture orders and antibiotic use.
MethodsWe examined differences in urine culture testing and antibiotic use before and after implementation of a CDS tool in a 400-bed hospital in Riyadh, Saudi Arabia, from August 2021 to July 2022. We included adult patients with urine culture orders. Our outcomes were the percentage of urine cultures ordered that were inappropriate and antibiotic use after the implementation of the CDS intervention. We used a multivariable logistic regression model to determine factors associated with inappropriate urine culture testing and antibiotic use.
ResultsThe percentage of inappropriate urine culture orders were significantly lower in the postintervention period compared to the preintervention period (821/2254, 36.4% vs 754/1814, 41.6%; PPPP
ConclusionsA CDS initiative can reduce unnecessary urine culture testing and antibiotic overuse. |
| format | Article |
| id | doaj-art-fa884ca798f84393923bfb02839ae9ac |
| institution | Kabale University |
| issn | 2291-9694 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Medical Informatics |
| spelling | doaj-art-fa884ca798f84393923bfb02839ae9ac2025-08-20T03:34:36ZengJMIR PublicationsJMIR Medical Informatics2291-96942025-07-0113e68044e6804410.2196/68044Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention StudyAhlam Alghamdihttp://orcid.org/0000-0002-7664-8044Afrah Alkazemihttp://orcid.org/0000-0003-2456-8736Alnada Ibrahimhttp://orcid.org/0000-0002-4604-4653Mohammed Alraeyhttp://orcid.org/0009-0005-3918-9415Mohammed Alaboudhttp://orcid.org/0009-0007-8392-9120Isra Farooqihttp://orcid.org/0009-0001-0740-0125Mohammad Aatif Khanhttp://orcid.org/0009-0009-1269-8681Asem Allamhttp://orcid.org/0000-0002-4308-6583Mohammed Alwadaihttp://orcid.org/0009-0009-0673-3938Renad Alyahyahttp://orcid.org/0009-0001-4756-4976Ohoud Alzahranihttp://orcid.org/0009-0004-9043-0721Hajar Y AlQahtanihttp://orcid.org/0000-0002-7719-8209Amir Moharebhttp://orcid.org/0000-0002-3761-6154Muneerah Aleissahttp://orcid.org/0000-0003-2167-5122 Abstract BackgroundInappropriate testing of urine cultures can lead to overuse of antibiotics, antimicrobial resistance, Clostridioides difficile ObjectiveWe assessed the implementation of a clinical decision support (CDS) tool in diagnostic stewardship, focusing on the appropriateness of urine culture orders and antibiotic use. MethodsWe examined differences in urine culture testing and antibiotic use before and after implementation of a CDS tool in a 400-bed hospital in Riyadh, Saudi Arabia, from August 2021 to July 2022. We included adult patients with urine culture orders. Our outcomes were the percentage of urine cultures ordered that were inappropriate and antibiotic use after the implementation of the CDS intervention. We used a multivariable logistic regression model to determine factors associated with inappropriate urine culture testing and antibiotic use. ResultsThe percentage of inappropriate urine culture orders were significantly lower in the postintervention period compared to the preintervention period (821/2254, 36.4% vs 754/1814, 41.6%; PPPP ConclusionsA CDS initiative can reduce unnecessary urine culture testing and antibiotic overuse.https://medinform.jmir.org/2025/1/e68044 |
| spellingShingle | Ahlam Alghamdi Afrah Alkazemi Alnada Ibrahim Mohammed Alraey Mohammed Alaboud Isra Farooqi Mohammad Aatif Khan Asem Allam Mohammed Alwadai Renad Alyahya Ohoud Alzahrani Hajar Y AlQahtani Amir Mohareb Muneerah Aleissa Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention Study JMIR Medical Informatics |
| title | Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention Study |
| title_full | Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention Study |
| title_fullStr | Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention Study |
| title_full_unstemmed | Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention Study |
| title_short | Impact of Diagnostic Stewardship on Urine Culture Ordering in Saudi Arabia: Prospective Pre- and Postintervention Study |
| title_sort | impact of diagnostic stewardship on urine culture ordering in saudi arabia prospective pre and postintervention study |
| url | https://medinform.jmir.org/2025/1/e68044 |
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