"Electronic Phenotyping" Antimicrobials to Facilitate Outpatient Stewardship for Asymptomatic Bacteriuria and Urinary Tract Infection in Renal Transplant

Alex N Zimmet; David Ha; Emily Mui; Mary Smith; Marten Hawkins; William Alegria; Marisa Holubar

doi:10.1093/ofid/ofae119

"Electronic Phenotyping" Antimicrobials to Facilitate Outpatient Stewardship for Asymptomatic Bacteriuria and Urinary Tract Infection in Renal Transplant

Open Forum Infect Dis. 2024 Mar 14;11(3):ofae119. doi: 10.1093/ofid/ofae119. eCollection 2024 Mar.

Authors

Alex N Zimmet^{1

2}, David Ha^{1

2}, Emily Mui^{1

2}, Mary Smith^{1

2}, Marten Hawkins^{1

2}, William Alegria^{1

2}, Marisa Holubar^{1

2}

Affiliations

¹ Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, USA.
² Stanford Antimicrobial Safety and Sustainability Program, Stanford Health Care, Stanford, CA, USA.

Abstract

Asymptomatic bacteriuria and urinary tract infection in renal transplant are important antimicrobial stewardship targets but are difficult to identify within electronic medical records. We validated an "electronic phenotype" of antibacterials prescribed for these indications. This may be more useful than billing data in assessing antibiotic indication in this outpatient setting.

Keywords: antibiotic prescribing; billing data; immunocompromised; renal transplant; urinary tract infection.