{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:21:16Z","timestamp":1759335676502,"version":"3.44.0"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"2122","license":[{"start":{"date-parts":[[2013,5,19]],"date-time":"2013-05-19T00:00:00Z","timestamp":1368921600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>PRINCIPLES:  Unnecessary treatment of asymptomatic bacteriuria and overuse of urinary  catheters in hospitals are of concern regarding antimicrobial resistance and  patient safety, respectively. We investigated the effectiveness of a  multifaceted intervention in reducing urinary catheter use and unnecessary prescription  of antibiotics for asymptomatic bacteriuria in hospitalised patients in a clinic for internal  medicine.\n        METHODS: Data  were collected retrospectively from all inpatients during a 3-month period both  before and after a multifaceted intervention from the Clinic for Internal  Medicine of our secondary care hospital. The intervention consisted of implementation  of guidelines, establishment of a standard for urinary catheter management,  introduction of restricted orders and a reminder of indwelling catheters, as  well as lectures and internet-based learning focusing on asymptomatic  bacteriuria.\n        RESULTS: The  incidence rate of urinary catheter days decreased significantly from 27 to 17  catheter days per 100 patient days (incidence rate ratio 0.61, 95% confidence  interval 0.57\u20130.67). The incidence rate of unnecessary antibiotic treatment  days for asymptomatic bacteriuria dropped significantly from 22 to 10 treatment  days per 1,000 patient days (incidence rate ratio 0.46, 95% confidence interval  0.33\u20130.63).\n        CONCLUSIONS:  A multifaceted intervention was effective in reducing both urinary catheter  days and inappropriate antibiotic use for asymptomatic bacteriuria.<\/jats:p>","DOI":"10.4414\/smw.2013.13796","type":"journal-article","created":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T10:27:23Z","timestamp":1404383243000},"page":"w13796","source":"Crossref","is-referenced-by-count":3,"title":["Reduction  of urinary catheter use and prescription of antibiotics for asymptomatic  bacteriuria in hospitalised patients in internal medicine"],"prefix":"10.57187","volume":"143","author":[{"given":"Martin","family":"Egger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Balmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi","family":"Friedli-W\u00fcthrich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathrin","family":"M\u00fchlemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"36756","published-online":{"date-parts":[[2013,5,19]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1699\/2279","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1699\/2280","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1699\/2279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T04:31:42Z","timestamp":1755232302000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,19]]},"references-count":0,"journal-issue":{"issue":"2122","published-online":{"date-parts":[[2013,5,20]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2013.13796","relation":{},"ISSN":["1424-3997"],"issn-type":[{"type":"electronic","value":"1424-3997"}],"subject":[],"published":{"date-parts":[[2013,5,19]]}}}