Veillette John J, Waters C Dustin, Olson Jared, Vargyas George, Ingalls Emily M, Hutton Mary A, Tinker Nick, May Stephanie S, Foster Rachel A, Stallsmith Jena, Vento Todd J
Infectious Diseases Telehealth Service, Intermountain Healthcare, Murray, UT, USA.
Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA.
Antimicrob Steward Healthc Epidemiol. 2023 Jun 30;3(1):e114. doi: 10.1017/ash.2023.204. eCollection 2023.
The optimal management of bacteriuria/pyuria of clinically undetermined significance (BPCUS) is unknown. Among 220 emergency department patients prescribed antibiotics for BPCUS, we found frequent readmissions, which were mitigated by outpatient follow-up visits. Observation and follow-up for an unknown diagnosis should be emphasized over antibiotics due to high likelihood of readmissions.
临床上意义未明的菌尿/脓尿(BPCUS)的最佳管理方法尚不清楚。在220名因BPCUS而被开具抗生素的急诊科患者中,我们发现频繁再次入院,而门诊随访可缓解这种情况。由于再次入院的可能性很高,对于不明诊断应强调观察和随访而非使用抗生素。