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. 2017 Mar 28;12(3):e0174415. doi: 10.1371/journal.pone.0174415

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.