Combined Training Intervention Targeting Medical and Nursing Staff Reduces Ciprofloxacin Use and Events of Urinary Tract Infection

Johannes Forster; Petra Schulze; Claudia Burger; Manuel Krone; Ulrich Vogel; Güzin Surat

doi:10.1155/2022/2474242

Combined Training Intervention Targeting Medical and Nursing Staff Reduces Ciprofloxacin Use and Events of Urinary Tract Infection

Adv Urol. 2022 Apr 11:2022:2474242. doi: 10.1155/2022/2474242. eCollection 2022.

Authors

Johannes Forster¹, Petra Schulze², Claudia Burger³, Manuel Krone⁴, Ulrich Vogel⁴, Güzin Surat⁴

Affiliations

¹ Institute for Hygiene und Microbiology, University of Würzburg, Würzburg, Germany.
² Division of Infectious Diseases, Department of Internal Medicine II, University Hospital of Wuerzburg, Würzburg, Germany.
³ Pharmacy, University Hospital of Würzburg, Würzburg, Germany.
⁴ Department of Infection Control and Antimicrobial Stewardship, University Hospital of Würzburg, Würzburg, Germany.

Abstract

Inappropriate diagnosis of urinary tract infections (UTI) contributes to antimicrobial overuse. A combined training intervention for medical and nursing staff mainly addressing the analytic process reduced UTI events (9.20 vs. 7.36 per 1000 PD, -20.0%, p = 0.003) and the utilization rate of ciprofloxacin (11.6 vs. 3.5, -69.6 p = 0.001) in a Bavarian University Hospital. Combined training intervention-as part of an antibiotic stewardship program-can be effective in avoiding unnecessary urinalysis and reducing antibiotic consumption.