Data Sources

Collection

This 2016-2017 Outpatient Urinary Tract Infection New York City Antibiogram was produced by the Department of Health and Mental Hygiene (DOHMH) in consultation with experts at local healthcare systems.

It is limited to outpatient populations from primary and specialty outpatient clinics, acute care hospitals, urgent care centers, and other healthcare facilities that provide outpatient care in New York City.

Data were combined for 17 health facilities and results are reported as the number of isolates tested for each pathogen and the percentage of isolates susceptible for each pathogen-drug combination.

All facilities that submitted data followed the most updated Clinical and Laboratory Standards Institute (CLSI) guidelines for antimicrobial susceptibility testing (CLSI M100-S27) and reports were generated using the first isolate per patient per year.

Aggregation

Data were aggregated by organism to calculate the cumulative antimicrobial susceptibilities to each routinely tested antimicrobial.

Aggregate data were then stratified by borough and analyzed for adult and pediatric populations for a two year reporting period, January 2016 to December 2017.

Six key pathogens causing urinary tract infections were selected for inclusion. These pathogens were chosen because of their clinical relevance and frequency with which they were isolated in the participating outpatient care settings.

Only species with results for ≥30 isolates per reporting period were displayed in this report.

Intention

This report was generated to assist primary care clinicians with treatment decision making, but also to promote judicious prescribing and facilitate antimicrobial stewardship efforts in the outpatient settings.