Dmitry Kiyatkin1, Edward Bessman2, Robin McKenzie3. 1. Collaborative Inpatient Medical Service, Department of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland. 2. Department of Emergency Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland. 3. Division of Infectious Diseases, Department of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland.
Abstract
BACKGROUND: Overuse of antibiotics to treat urinary tract infections (UTIs) is common in hospitalized patients and may begin in the emergency department (ED). METHODS: For a 4-week period we reviewed medical records of all patients admitted to the hospital who initiated treatment for a UTI in the ED. RESULTS: According to study criteria, initiation of antibiotics was inappropriate for 55 of 94 patients (59% [95% confidence interval {CI}, 48%-69%]), and continuation after admission was inappropriate for 54 of 80 patients (68% [95% CI, 57%-78%]). CONCLUSION: Failure to reevaluate the need for antibiotics initiated in the ED to treat UTIs may lead to overuse of antibiotics in hospitalized patients.
BACKGROUND: Overuse of antibiotics to treat urinary tract infections (UTIs) is common in hospitalized patients and may begin in the emergency department (ED). METHODS: For a 4-week period we reviewed medical records of all patients admitted to the hospital who initiated treatment for a UTI in the ED. RESULTS: According to study criteria, initiation of antibiotics was inappropriate for 55 of 94 patients (59% [95% confidence interval {CI}, 48%-69%]), and continuation after admission was inappropriate for 54 of 80 patients (68% [95% CI, 57%-78%]). CONCLUSION: Failure to reevaluate the need for antibiotics initiated in the ED to treat UTIs may lead to overuse of antibiotics in hospitalized patients.
Authors: Theresa A Rowe; Tiffany Brown; Jason N Doctor; Jeffrey A Linder; Stephen D Persell Journal: BMC Fam Pract Date: 2021-05-15 Impact factor: 2.497
Authors: Laura J Shallcross; Patrick Rockenschaub; David McNulty; Nick Freemantle; Andrew Hayward; Martin J Gill Journal: BMC Emerg Med Date: 2020-05-19
Authors: Lindsay A Petty; Valerie M Vaughn; Scott A Flanders; Twisha Patel; Anurag N Malani; David Ratz; Keith S Kaye; Jason M Pogue; Lisa E Dumkow; Rama Thyagarajan; Lama M Hsaiky; Danielle Osterholzer; Steven L Kronick; Elizabeth McLaughlin; Tejal N Gandhi Journal: Open Forum Infect Dis Date: 2020-11-03 Impact factor: 3.835