Clinical outcomes associated with guideline-discordant management of asymptomatic bacteriuria and urinary tract infection in hospitalized patients with neurogenic bladder

The study examines the management of asymptomatic bacteriuria (ASB) and urinary tract infections (UTI) in hospitalized patients with neurogenic bladder (NB). It assesses whether the diagnosis and treatment of ASB and UTI align with national guidelines and how guideline adherence impacts patient outcomes. The goal is to identify opportunities to improve antibiotic use and patient care in this population.

• 1
  Almost one-third of UTI diagnoses and half of treatments in hospitalized patients with NB are inappropriate.
• 2
  All ASB encounters had appropriate diagnoses, and 96.1% had appropriate treatment.
• 3
  Appropriate ASB or UTI diagnosis was associated with a longer postculture LOS in patients with SCI/D or MS.