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Why Are We Frequently Ordering Urinalyses in Patients without Symptoms of Urinary Tract Infections in the Emergency Department?

Author

Listed:
  • Tessa M. Z. X. K. van Horrik

    (Department of Internal Medicine, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Room D3-226 Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Bart J. Laan

    (Department of Internal Medicine, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Room D3-226 Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Allard B. Huizinga

    (Department of Internal Medicine, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Room D3-226 Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Gercora Hoitinga

    (Department of Emergency Medicine, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands)

  • Walter P. Poortvliet

    (Department of Emergency Medicine, Meander MC, 3813 TZ Amersfoort, The Netherlands)

  • Suzanne E. Geerlings

    (Department of Internal Medicine, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Room D3-226 Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

Abstract

(1) Background: In the emergency department (ED), ordering urine tests in patients without symptoms of a urinary tract infection can lead to inappropriate antimicrobial treatment. We aimed to identify factors contributing to the unnecessary ordering of urinalyses in the ED. (2) Methods: An online survey study among nurses and physicians working in the EDs of five hospitals in the Netherlands was conducted. (3) Results: The overall response rate was 26% (221/850; 85 nurses and 136 physicians). The vast majority of the respondents reported knowing when to order urine tests (197/221; 90%). Almost two-thirds of the respondents (145/221; 66%) agreed that they ordered urinalyses because it is rapid and non-invasive to patients. Most nurses (66/86; 78%) said they informed the doctor if they thought the urine test would not contribute to the patient’s diagnosis, but only one-third of the physicians agreed with this statement (44/136; 32%). Most respondents (160/221; 72%) thought guidelines or protocols about urinalyses in the ED would be functional. (4) Conclusions: These results suggest urinalyses were frequently ordered in the ED to achieve a fast work process. Nurses and physicians could improve their communication about the indications for urine tests. Developing diagnostic guidelines for urine testing may be convenient.

Suggested Citation

  • Tessa M. Z. X. K. van Horrik & Bart J. Laan & Allard B. Huizinga & Gercora Hoitinga & Walter P. Poortvliet & Suzanne E. Geerlings, 2022. "Why Are We Frequently Ordering Urinalyses in Patients without Symptoms of Urinary Tract Infections in the Emergency Department?," IJERPH, MDPI, vol. 19(17), pages 1-8, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10757-:d:900884
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