95 Development of an Emergency Department Antibiogram Directed at Treating Outpatient Urinary Tract Infections

Drapkin, Zachary; Lingenfelter, Erin; Youngquist, Scott T.; Fritz, K; Fix, Megan L.

doi:10.1016/j.annemergmed.2014.07.120

Cited by 2 publications

(2 citation statements)

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“…The authors found that susceptibility rates in uncomplicated cystitis presenting to the ED were no different than those reported in the hospital-wide antibiogram. This review included 153 E. coli samples, and they found the following susceptibilities of Trimethoprim-Sulfamethoxazole (77%), Nitrofurantoin (99%), Ciprofloxacin (84%) and Levofloxacin (85%) [6]. It should be noted that the sensitivity ratios seen in this study population do not correlate with our very low antibiogram sensitivities for Trimethoprim-Sulfamethoxazole of 58% or Ciprofloxacin at 69%.…”

Section: Discussionmentioning

confidence: 85%

“…Several recent studies in prominent emergency medicine literature compared the antimicrobial sensitivity patterns of discharged ED patients and their facility-based antibiograms, however, the respective findings have been far from unifying [6–8]. A retrospective chart review performed by Drapkin, et al conducted a retrospective review for patients in a university ED setting from 2011 to 2012 and evaluated all urine cultures with greater than 100,000 cfu/mL.…”

Section: Discussionmentioning

confidence: 99%

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Sensitivity of urinary pathogens for patients discharged from the emergency department compared with the hospital antibiogram

Carlsen

Krall

et al. 2019

BMC Emerg Med

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Background Data for hospital antibiograms are typically compiled from all patients, regardless of disposition, demographics and other comorbidities. Objective We hypothesized that the sensitivity patterns for urinary pathogens would differ significantly from the hospital antibiogram in patients that were discharged from the emergency department (ED). Methods We evaluated a retrospective cohort of all adult patients with positive urine cultures treated in the 2016 calendar year at an inner-city academic ED. Positive urine cultures defined by our institution’s microbiology department. Investigators conducted a structured review of an electronic medical record (EMR) to collect demographic, historical and microbiology records. We utilized a one-sample test of proportion to compare the sensitivity of each organism for discharged patients to the hospital published antibiogram. Alpha set at 0.05. Results During the study period, 414 patients were discharged from the ED and found to have positive urine cultures; 20% age > 60 years old, 85% female, 79% Hispanic, 33% diabetic. The most common organisms was E. coli (78%). E. coli was sensitive to Trimethoprim-Sulfamethoxazole for 59% vs. 58% in our antibiogram ( p = 0.77), Ciprofloxacin 81% vs. 69% ( p < 0. 001), Nitrofurantoin 96% vs 95%; ( p = 0.25). K. pneumoniae was sensitive to Trimethoprim-Sulfamethoxazole 87% vs. 80% in our antibiogram ( p = 0.26), Ciprofloxacin 100% vs. 92% ( p = 0.077), Nitrofurantoin 86% vs 41% ( p < 0.001). Conclusions For our predominantly Hispanic study group with a high prevalence of diabetes, we found that our hospital antibiogram had relatively good value in guiding antibiotic therapy though for some organism/antibiotic combinations sensitivities were higher than expected.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Sensitivity of urinary pathogens for patients discharged from the emergency department compared with the hospital antibiogram

Carlsen

Krall

et al. 2019

BMC Emerg Med

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Aci̇l Servi̇ste İdrar Yolu Enfeksi̇yonu İçi̇n Başlanan Ampi̇ri̇k Anti̇bi̇yoti̇k İle Kültür Anti̇bi̇yogram Duyarliliğinin Karşilaştirilmasi

Çakır¹,

Acar

2023

Turkish Journal of Clinics and Laboratory

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Giriş ve Amaç: Üriner sistem enfeksiyonları (ÜSE) hem ayaktan hem de yatarak tedavi edilen en yaygın enfeksiyonlardan biridir. Tedavide antibiyotik kullanımı ve antibiyotiklere olan direnç git gide artmıştır. Çalışmamızda, acil serviste ayaktan tedavi edilen ÜSE olgularına reçete edilen antibiyotik ile kültür antibiyogramındaki direnç/duyarlılık düzeylerini karşılaştırmayı ve literature katkı sağlamayı amaçladık. Materyal ve Metot: Çalışmamız retrospektif ve tek merkezli bir çalışmadır. Çalışma dahil edilme kriterlerini karşılayan 1503 hasta ile yapıldı. Olguların demografik verileri, laboratuvar verileri ve klinik verileri daha önceden oluşturulmuş çalışma formuna kaydedildi. İstatistiksel anlamlılık düzeyi için p

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95 Development of an Emergency Department Antibiogram Directed at Treating Outpatient Urinary Tract Infections

Cited by 2 publications

References 0 publications

Sensitivity of urinary pathogens for patients discharged from the emergency department compared with the hospital antibiogram

Sensitivity of urinary pathogens for patients discharged from the emergency department compared with the hospital antibiogram

Aci̇l Servi̇ste İdrar Yolu Enfeksi̇yonu İçi̇n Başlanan Ampi̇ri̇k Anti̇bi̇yoti̇k İle Kültür Anti̇bi̇yogram Duyarliliğinin Karşilaştirilmasi

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