Gregg JR, et al. - The objective of this paper was to formulate and inspect an evidence-based protocol which reduced unnecessary antibiotic use while avoiding an increase in urinary tract infection (UTI). It was determined that the use of a local antibiogram with infection-related risk data effectively risk stratified patients prior to the cystourethroscopy. This, in turn, decreased the use of antibiotics without increasing rates of symptomatic UTI.