Evidence map›Paper›PMID 41446416›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2025

A pilot intervention to improve the management of urinary tract infections in outpatient settings.

Karl J Madaras-Kelly, Trisha Nakasone, Saba Maghari, Janice Taylor, McKenna Nevers, Jacob Crook, Benjamin Brintz, Jordan B Braunfeld, Matthew Bidwell Goetz, Matthew Samore

Abstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Karl J Madaras-KellyColl of Pharmacy, Idaho State Univ. Meridian, ID, USA.ORCID https://orcid.org/0000-0001-9933-4120
Trisha NakasoneVA Palo Alto Healthcare System, Palo Alto, CA, USA.
Saba MaghariVA Sierra Nevada Healthcare System, Reno, NV, USA.
Janice TaylorVA Sierra Nevada Healthcare System, Reno, NV, USA.
McKenna NeversSchool of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID https://orcid.org/0009-0009-6122-6162
Jacob CrookSchool of Medicine, University of Utah, Salt Lake City, UT, USA.
Benjamin BrintzSchool of Medicine, University of Utah, Salt Lake City, UT, USA.
Jordan B BraunfeldEvergreen Health, Kirkland, WA, USA.ORCID https://orcid.org/0000-0002-8314-2535
Matthew Bidwell GoetzGreater Los Angeles VA Healthcare System & David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.ORCID https://orcid.org/0000-0003-4542-992X
Matthew SamoreSchool of Medicine, University of Utah, Salt Lake City, UT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To describe the implementation of an outpatient UTI intervention and its impact on UTI management. Design: Quasi-experimental retrospective controlled study. Participants: Outpatient clinicians practicing in emergency and primary care settings within 8 Veterans Affairs Medical Centers. Methods: An intervention conducted utilizing the CDC Core Elements Antibiotic Stewardship framework between September 2022 and July 2023. Actions included academic detailing, audit feedback, and updated reflex culture procedures. Logistic regression adjusted for covariates (risk ratio [RR], 95% confidence interval [CI]), and a difference-in-differences (DID) analysis compared multiple UTI management metrics between intervention and control facilities. Results: There were 278,419 and 157,067 genitourinary (GU) tract qualifying visits [mean (SD) age 71.7 (13.9), 92.6% male] within 8 intervention and 8 control sites, respectively. Antibiotic prescribing rates for a broad-based GU tract metric that included UTIs pre/post implementation were [ Conclusions: Implementation of an outpatient UTI intervention in a predominantly male population was feasible but marginally effective.

Identifiers

PMID41446416
PMCPMC12722549

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.