Journal of Bone and Joint Infection
Journal of Bone and Joint Infection
JBJI
Articles | Volume 6, issue 3
Articles | Volume 6, issue 3
https://doi.org/10.5194/jbji-6-57-2020
© Author(s) 2020. This work is distributed under
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-6-57-2020
© Author(s) 2020. This work is distributed under
the Creative Commons Attribution 4.0 License.
Articles | Volume 6, issue 3
Original full-length article
 | 
21 Dec 2020
Original full-length article |  | 21 Dec 2020

Using implementation science to develop and implement a guideline to reduce unnecessary preoperative testing for asymptomatic bacteriuria prior to elective arthroplasty

Judith S. L. Partridge, Madeleine Daly, Carolyn Hemsley, Zameer Shah, Krishanthi Sathanandan, Cathryn Mainwaring, and Jugdeep K. Dhesi

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Short summary
This stepwise quality improvement project sought to reduce unnecessary preoperative testing for asymptomatic bacteriuria prior to elective arthroplasty. A new guideline removing routine urine testing from preoperative assessment was successfully implemented and there was a sustained reduction in the number of unnecessary preoperative urine cultures performed. This study is useful to other centres as an example of how implementation methodology can be used to challenge outdated clinical practice.
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