The Diagnosis and Treatment of Adult Urinary Tract Infections in the Emergency Department

被引:1
作者
Redwood, Robert [1 ]
Claeys, Kimberly C. [2 ]
机构
[1] Bozeman Hlth Emergency Dept, 915 Highland Ave, Bozeman, MT 59715 USA
[2] Univ Maryland, Dept Pharm Sci & Hlth Outcomes Res, Sch Pharm, 20 N Pine St, Baltimore, MD 21201 USA
关键词
Antimicrobial stewardship; Asymptomatic bacteriuria; Cystitis; Diagnosis; Diagnostic stewardship; Urinary tract infection; TERM-CARE FACILITIES; CLINICAL-PRACTICE GUIDELINE; ANTIMICROBIAL STEWARDSHIP; DISEASES SOCIETY; ASYMPTOMATIC BACTERIURIA; MANAGEMENT; RESIDENTS; CULTURE; UPDATE; SUSCEPTIBILITY;
D O I
10.1016/j.emc.2024.01.001
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Diagnosis and management of UTIs in the ED requires a thoughtful approach, especially given the limited amount and quality of information we are presented with, the potential for severe infection if inadequately treated, and our mandate to provide good antibiotic stewardship. Differentiating cystitis from pyelonephritis from nonurinary pathology is challenging. Emerging antibiotic resistance among uropathogens adds further complexity. Best care entails a careful history and physical examination for urinary signs and symptoms, a nuanced consideration of urine test results and their limitations, and informed judgment as to whether or not to prescribe antibiotics. Once that decision to treat has been made, empirical antibiotic selection should incorporate patient-level factors, national guidelines, and local antibiogram data.
引用
收藏
页码:209 / 230
页数:22
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