The overall tone shows strong agreement and high interest, with several posts referencing specific strategies like reducing urine cultures and stewardship programs. Words such as 'important,' 'effective,' and phrases like 'improve practices' indicate a consensus that these initiatives could transform clinical management of asymptomatic bacteriuria, emphasizing both practical benefits and public health impact.
AgreementStrong agreement
Most discussions support the article's conclusions, emphasizing the importance of reducing unnecessary antibiotic treatments and urine cultures.
InterestHigh interest
Posts demonstrate high interest, citing specific studies, initiatives, and recommendations related to antibiotic stewardship.
EngagementModerate engagement
Participants engage by sharing examples, quoting results, and discussing strategies, indicating meaningful involvement.
ImpactHigh impact
The discussions reflect a recognition of the significant potential impact on patient care and antibiotic resistance, highlighting policy and clinical practice changes.
Abstract in brief
The study investigated how diagnostic and antibiotic stewardship strategies can reduce unnecessary antibiotic use in hospitalized patients with asymptomatic bacteriuria (ASB), across 46 Michigan hospitals over three years.
Results showed a significant decline in antibiotic treatment for ASB, from 29.1% to 17.1%, indicating improved practices in avoiding unnecessary antibiotics.
The study highlights that targeted stewardship interventions, like avoiding unnecessary urine cultures and reducing inappropriate antibiotic use, can lead to better patient outcomes and combat antibiotic resistance.]
To decrease antibiotic treatment related to asymptomatic bacteriuria, hospitals should prioritize reducing unnecessary urine cultures (ie, diagnostic stewardship). https://t.co/TxbqoehsmW
It's hard to ignore a positive urine culture - avoid sending for ASB! Statewide study found diagnostic stewardship was more effective at⬇️antibiotic overuse than antibiotic stewardship.
https://t.co/tHM23mjo02 @JAMAInternalMed @ValerieVaughnMD @JulieSzymczak @Payal_Patel
@BradSpellberg @ABsteward @JoEspinozaR @JAMANetworkOpen @DrToddLee @InfectiousDz @bwtrautner I agree.
@ValerieVaughnMD found better to reduce culturing in patients without UTI sx than to change clinician beliefs about antibiotics for ASB https://t.co/EKuCV6qnCv
Jan 19, 2024 · 27 likes · 8 shares · 4,253 followersView post →
PH
PROA_HUCA-HMN
@HucaProa · X
Muy necesario. No tratar resultados microbiologicos, valorar el cuadro clínico. https://t.co/ROA5J0lcdV
(JAMA Intern Med) Iniciativa estatal para ↓ los ttos innecesarios con antibióticos en la bacteriuria asintomática https://t.co/9EZpZKN15v Est Observ https://t.co/ZeXkTM2LMI Editorial https://t.co/ZoE72ohXCK
Diagnostic stewardship has become essential in clinical practice over the past decade, impacting patient care and public health. This episode discusses practical testing improvements, the role of AI, and how thoughtful…
RT @ashwin_b_gupta: @DrTobyGilbert @pash22 Tell me about it. Here is a bit about our efforts to improve.
https://t.co/6WX0HZlSCe
Mar 26, 2024 · 1 share · 16,287 followersView post →
AP
Ash Paul
@pash22 · X
"A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria". This might be of interest @Trisha_the_doc & @sean9n https://t.co/m19xrT0xK6
Jan 19, 2024 · 8 shares · 60,071 followersView post →
DM
Dan Morgan
@dr_dmorgan · X
@BradSpellberg @ABsteward @JoEspinozaR @JAMANetworkOpen @DrToddLee @InfectiousDz @bwtrautner I agree.
@ValerieVaughnMD found better to reduce culturing in patients without UTI sx than to change clinician beliefs about antibiotics for ASB https://t.co/EKuCV6qnCv
Jan 19, 2024 · 27 likes · 8 shares · 4,253 followersView post →
Oct 13, 2023 · 3 likes · 1,946 followersView post →
DV
DR. CARLOS WALDO VARGAS
@MI_WAVC · X
Para disminuir el tratamiento #antibiótico relacionado con la bacteriuria asintomática, los hospitales deben priorizar la reducción de urocultivos innecesarios @JAMAInternalMed
https://t.co/hq6gf3XWm9
Iniciativa estatal de calidad para reducir los tratamientos antibióticos innecesarios de
bacteriurias asintomáticas https://t.co/YtJFoESdym
PMID 37428491
Iniciativa estatal de calidad para reducir los tratamientos antibióticos innecesarios de bacteriurias asintomáticas https://t.co/YtJFoESdym
PMID 37428491
To decrease antibiotic treatment related to asymptomatic bacteriuria, hospitals should prioritize reducing unnecessary urine cultures (ie, diagnostic stewardship). https://t.co/TxbqoehsmW
Hooray for @Payal_Patel and colleagues on this important study. A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria https://t.co/7UK0tGmXrG @SCWollerMD @Jess_Intermtn @ErinGoff18
A Michigan Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria https://t.co/gcfW38RW6b via @ValerieVaughnMD et al @PharmRJ @DrDavidSpitzer @invadingpirate @sean9n @JulianTreadwel1 https://t.co/U0Q75cFz89
Aug 18, 2023 · 3 likes · 32,299 followersView post →
J
Joshua
@reverendofdoubt · X
RT @ValerieVaughnMD:
Aug 18, 2023 · 36 shares · 10,175 followersView post →
DM
Dan Morgan
@dr_dmorgan · X
RT @ValerieVaughnMD:
Aug 18, 2023 · 36 shares · 4,253 followersView post →
JS
Julie Szymczak
@JulieSzymczak · X
RT @ValerieVaughnMD:
Aug 18, 2023 · 36 shares · 1,149 followersView post →
EI
Environment & Child Health Chapter of IAP
@EnvironChildIAP · X
RT @docalok: A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria | Emergency Medicine | J…
New from @HMS_MI, a study finds that to decrease antibiotic treatment related to asymptomatic bacteriuria, hospitals should prioritize reducing unnecessary urine cultures. #CQISundayRead #QIWork https://t.co/ItCAXBhUHQ https://t.co/njWFPGTaM8
One insane thing after another: JAMA IM published an article advocating “Successful urine culture stewardship strategies include … suppressing urine culture results.” #UroTwitter #MedTwitter
https://t.co/uG7QDX0pfn
Engaging in diagnostic stewardship reduced unnecessary antibiotics for asymptomatic bacteriuria (ASB). ⬇️
Read the full @JAMAInternalMed study by @ValerieVaughnMD, et al to learn more. https://t.co/Ybv0Brc495
Quality Improvement Study | Improved asymptomatic bacteriuria management by reduction of unnecessary urine culture requests – via @JAMAInternalMed
https://t.co/DY1BtxYGjf
(JAMA Intern Med) Iniciativa estatal para ↓ los ttos innecesarios con antibióticos en la bacteriuria asintomática https://t.co/9EZpZKN15v Est Observ https://t.co/ZeXkTM2LMI Editorial https://t.co/ZoE72ohXCK
A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria | Emergency Medicine | JAMA Internal Medicine | JAMA Network https://t.co/i70BjtEGRM
It's hard to ignore a positive urine culture - avoid sending for ASB! Statewide study found diagnostic stewardship was more effective at⬇️antibiotic overuse than antibiotic stewardship.
https://t.co/tHM23mjo02 @JAMAInternalMed @ValerieVaughnMD @JulieSzymczak @Payal_Patel
A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria | Emergency Medicine | JAMA Internal Medicine | JAMA Network https://t.co/SVvT3Slk5w