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与因平地跌倒住院的老年患者无症状菌尿管理相关的结局

Outcomes associated with asymptomatic bacteriuria management in elderly patients hospitalized with a ground-level fall.

作者信息

Everitt Katelin A, Baldwin Margaret, Tinker Nick, Stuhr Ku'ulei, Morris David S, Veillette John J

机构信息

Department of Pharmacy, Utah Valley Hospital, Provo, UT, USA.

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

出版信息

Antimicrob Steward Healthc Epidemiol. 2025 Mar 3;5(1):e72. doi: 10.1017/ash.2024.493. eCollection 2025.

DOI:10.1017/ash.2024.493
PMID:40109917
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11920912/
Abstract

Data are lacking to guide management of asymptomatic bacteriuria (ASB) in elderly patients with a fall. Comparing treated versus non-treated patients, we identified clear harm and no benefit from antibiotic treatment. Our data support IDSA recommendations to withhold antibiotics in elderly patients with ASB and evaluate alternative causes of falls.

摘要

目前缺乏数据来指导老年跌倒患者无症状菌尿（ASB）的管理。通过比较接受治疗和未接受治疗的患者，我们发现抗生素治疗存在明显危害且无益处。我们的数据支持美国感染病学会（IDSA）的建议，即不对患有ASB的老年患者使用抗生素，并评估跌倒的其他原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/11920912/7d7429dd813b/S2732494X24004935_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/11920912/7d7429dd813b/S2732494X24004935_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff2/11920912/7d7429dd813b/S2732494X24004935_fig1.jpg

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本文引用的文献

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J Am Pharm Assoc (2003). 2024 May-Jun;64(3):102043. doi: 10.1016/j.japh.2024.102043. Epub 2024 Feb 18.
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Outcomes of patients with bacteriuria/pyuria of clinically undetermined significance (BPCUS) treated with antibiotics in 23 community hospital emergency departments.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。
Antimicrob Steward Healthc Epidemiol. 2023 Jun 30;3(1):e114. doi: 10.1017/ash.2023.204. eCollection 2023.
3
Asymptomatic Bacteriuria versus Symptom Underreporting in Older Emergency Department Patients with Suspected Urinary Tract Infection.
老年急诊科疑似尿路感染患者的无症状菌尿与症状漏报情况
J Am Geriatr Soc. 2020 Nov;68(11):2696-2699. doi: 10.1111/jgs.16775. Epub 2020 Aug 17.
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Risk Factors and Outcomes Associated With Treatment of Asymptomatic Bacteriuria in Hospitalized Patients.住院患者无症状菌尿治疗的相关危险因素及结局
JAMA Intern Med. 2019 Nov 1;179(11):1519-1527. doi: 10.1001/jamainternmed.2019.2871.
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