Table 2. Changes in provider accuracy with urinary tract infections (CAUTI) and Asymptomatic Bacteriuria (ASB) management (Diagnosis and treatment).
Intervention Site | Comparison Site | |||||||
---|---|---|---|---|---|---|---|---|
Pre-Intervention | Post-Intervention | Pre-Intervention | Post-Intervention | |||||
Positive Cultures N = 129 | Positive Cultures N = 56 | Positive Cultures N = 67 | Positive Cultures N = 61 | |||||
Sxs | No Sxs | Sxs | No Sxs | Sxs | No Sxs | Sxs | No Sxs | |
Antimicrobials prescribed | 40 | 32 | 26 | 3 | 26 | 8 | 36 | 5 |
Antimicrobials not prescribed | 8 | 49 | 2 | 25 | 3 | 30 | 1 | 19 |
Sensitivity (95% CI) | 83% (.73-.94) | 93% (.83–1.00) | 90% (.79–1.00) | 97% (.92–1.00) | ||||
Specificity (95% CI) | 60% (.50-.71) | 89% (.78–1.00) | 79% (.66-.92) | 79% (.63-.95) | ||||
Positive* Likelihood Ratio | 2.1 | 8.5 | 4.29 | 4.62 | ||||
Negative** Likelihood Ratio | 0.28 | 0.08 | 0.13 | 0.04 |
Sxs = Positive culture with symptoms; No Sxs = Positive culture without symptoms; N = number; CI = confidence interval
*Higher +LR raises the post-test probability and helps to (Rule-in) CAUTI diagnosis and encourage appropriate treatment of CAUTI.
**Lower–LR lowers the post-test probability and helps to (Rule-out) CAUTI diagnosis, and discourage treatment of ASB.