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23家社区医院急诊科中接受抗生素治疗的临床意义未明的菌尿/脓尿(BPCUS)患者的治疗结果。

Outcomes of patients with bacteriuria/pyuria of clinically undetermined significance (BPCUS) treated with antibiotics in 23 community hospital emergency departments.

作者信息

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

机构信息

Infectious Diseases Telehealth Service, Intermountain Healthcare, Murray, UT, USA.

Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2023 Jun 30;3(1):e114. doi: 10.1017/ash.2023.204. eCollection 2023.

DOI:10.1017/ash.2023.204
PMID:37502236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10369435/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ecc/10369435/55388d75099c/S2732494X23002048_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ecc/10369435/55388d75099c/S2732494X23002048_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ecc/10369435/55388d75099c/S2732494X23002048_fig1.jpg

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Assessment of Testing and Treatment of Asymptomatic Bacteriuria Initiated in the Emergency Department.
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Open Forum Infect Dis. 2020 Nov 3;7(12):ofaa537. doi: 10.1093/ofid/ofaa537. eCollection 2020 Dec.
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Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.临床实践指南:无症状细菌尿管理 2019 年美国传染病学会更新版。
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