1463. The Rates of UTI Outpatient and Inpatient Visits from 2001 to 2015 Among an Insured Population

Abstract

BackgroundHospitalizations attributable to urinary tract infections (UTI) have increased in recent years. One possible reason for the increase in admissions is a lack of effective oral agents, due to increasing rates of antimicrobial resistance, necessitating treatment with IV antibiotics. Our objective was to compare the rates of inpatient vs. outpatient treatment for UTIs.MethodsWe used the MarketScan database to identify UTI inpatient and outpatient visits from January 2001 through September 2015. Incidence rates for inpatient and outpatient visits were determined as a function of people at risk for UTIs. A difference-in-difference model with a change point in 2007 was used.ResultsDuring our study period, we identified 32,521,146 outpatient visits for UTI and 297,470 inpatient UTI visits. Rates for inpatient and outpatient visits were rising at similar rates before 2007. After 2007, the slopes differed, and the incidence of outpatient visits increased statistically (P = 0.023) when compared with inpatient visits.ConclusionIncidence of UTI hospitalizations is increasing but not as quickly as UTI outpatient visits. Since 2007, patients are more likely to be treated in the outpatient setting rather than in the inpatient setting.Disclosures All authors: No reported disclosures.

Budget impact analysis of temocillin insurance coverage for urinary tract infections caused by ESBL-producing pathogens in Iran

“…In this study, out of 32,521,146 patients who developed UTI, only 297,470 (0.91%) were hospitalized. [ 17 ] For greater accuracy, among hospitalized patients with UTIs, it was estimated that 66.7% of infections in inpatients were caused by ESBL-producing bacteria, according to a study by Ranjan et al [ 18 ] Therefore, the target population was estimated to be 53,689 individuals.…”

A prospective, follow up study to assess guidelines compliance in uncomplicated urinary tract infection

“…Since the beginning of 21 st century both OPD visits and IPD admissions for UTI have been rising and so is the use of antibiotics. [ 5 ] Thus to minimize indiscriminate use, it is important to analyze current patterns of antibiotic prescription in uncomplicated UTI cases and compare them with the existing guidelines. Recent studies have found out sensitivity rates among pathogens for different antibiotics in different regions of India,[ 6 7 ] but somehow the aspect of drug efficacy in actual clinical settings in terms of symptom relief for the patients is yet to be explored.…”