Not everyone is special: evaluation of indication in a urinalysis-driven reflex urine culture protocol at an academic medical center

Asymptomatic bacteriuria (ASB) frequently results in inappropriate antimicrobial use. Urinalysis (UA)-driven reflex urine culture order sets can reduce inappropriate urine cultures. Most special indications on free text overrides within a (UA)-driven reflex culture protocol were inappropriately defined and rarely symptom-based. Eliminating the "other" indication could strengthen diagnostic stewardship and reduce unnecessary urine cultures.