Development and validation of an antibiotic appropriateness metric for urinary tract infections and pyelonephritis in ambulatory settings

Mackenzie R Keintz; Bryan T Alexander; Katherine Fagan; Trevor C Van Schooneveld

doi:10.1017/ash.2024.490

Development and validation of an antibiotic appropriateness metric for urinary tract infections and pyelonephritis in ambulatory settings

Antimicrob Steward Healthc Epidemiol. 2025 Jan 17;5(1):e8. doi: 10.1017/ash.2024.490. eCollection 2025.

Authors

Mackenzie R Keintz¹, Bryan T Alexander², Katherine Fagan³, Trevor C Van Schooneveld¹

Affiliations

¹ Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, NE, USA.
² Department of Pharmaceutical & Nutrition Care, Nebraska Medicine, Omaha, NE, USA.
³ Analytics Team, Nebraska Medicine, Omaha, NE, USA.

Abstract

Ambulatory antibiotic stewardship has traditionally focused on acute respiratory infections with few studies evaluating metrics for other commonly encountered ambulatory conditions, including urinary tract infections (UTI). We describe the development and validation of an electronically captured appropriate antibiotic use metric for ambulatory UTIs using coding data.