Antibiotic Prescribed Without Clinical Indication
Penalty
Summary
A resident was admitted to the facility without a diagnosis of urinary tract infection (UTI) and had a hospital urinalysis and culture that showed asymptomatic bacteriuria, with no symptoms or clinical indications for antimicrobial treatment. Despite this, an order for levofloxacin, an antibiotic, was initiated for the resident for chronic UTI and UTI prophylaxis, and the medication was administered over a period of several days. The resident did not exhibit any UTI symptoms such as painful or frequent urination, strong urine odor, or fever during their stay at the facility. The Infection Preventionist confirmed that the antibiotic was started based solely on the hospital urinalysis result, without supporting clinical symptoms. Facility policy on Antibiotic Stewardship requires that laboratory results and current clinical situations be communicated to the prescriber to determine if antibiotic therapy should be modified or discontinued. In this case, the policy was not followed, as the antibiotic was prescribed and administered without adequate clinical or laboratory findings to justify its use.
Plan Of Correction
5. All corrective action will be completed by 5/26/25.