Antibiotic Stewardship in Lower Urinary Tract Infections Among the Elderly at a District General Hospital

Initial findings revealed suboptimal adherence to national guidelines, with 50% (n=5) of asymptomatic patients with negative cultures inappropriately prescribed antibiotics. Following the poster intervention, prescribing was found to be three-and-a-half times more appropriate for LUTIs than the pre-intervention period (OR=3.61, 95% CI: 1.08-12.03, Ꭓ²=4.56, p=0.033). Compared to the pre-intervention period, antibiotic prescribing was found to be five times more appropriate (OR=5.05, 95% CI: 0.96-26.66, Ꭓ²=3.91, p=0.048) after all educational interventions were implemented. Catheter-associated infections also showed a significant reduction, albeit with poor statistical correlation. Conclusion: Targeted educational interventions, including informational posters and teaching sessions, improved appropriate diagnosis and antibiotic prescribing for LUTIs and ASB in elderly hospitalized patients within the scope of this study.