Optimizing reflex urine cultures: Using a population-specific approach to diagnostic stewardship

When used as a part of a diagnostic workup, UA parameters should be leveraged for their NPV instead of sensitivity. Because many laboratories and hospitals use reflex urine culture algorithms, their workflow should include clinical decision support and or education to target symptomatic patients and focus on populations where absence of pyuria has high NPV.

Check out the full article in Infection Control & Hospital Epidemiology.