The Emergency Department Diagnosis and Management of Urinary Tract Infection.

@article{Long2018TheED,
  title={The Emergency Department Diagnosis and Management of Urinary Tract Infection.},
  author={Brit Long and Alex Koyfman},
  journal={Emergency medicine clinics of North America},
  year={2018},
  volume={36 4},
  pages={
          685-710
        }
}
  • B. Long, A. Koyfman
  • Published 1 November 2018
  • Medicine
  • Emergency medicine clinics of North America
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TLDR
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TLDR
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Usefulness of next-generation DNA sequencing for the diagnosis of urinary tract infection.
TLDR
Next-generation DNA sequencing (NGS) analysis is potentially useful for identifying pathogenic bacteria in urine from acute UTI patients but is less applicable in patients who do not meet clinical criteria for sepsis.
Improved diagnostics of infectious diseases in emergency departments: a protocol of a multifaceted multicentre diagnostic study
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The study aims to evaluate diagnostic tools and working methods that support a prompt and accurate diagnosis of hospitalised patients suspected of an acute infection and investigates patient characteristics and treatment trajectory of the different acute infections.
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References

SHOWING 1-10 OF 142 REFERENCES
Urinary tract infections in adults.
TLDR
Family physicians are capable of managing most UTIs if guided by appropriate history, investigations and appropriate antibiotics to achieve good outcomes and minimise antibiotic resistance.
Urinary Tract Infection
TLDR
Clinicians must consider whether recommendations derived from the evidence base are applicable to their patient populations, and whether screening for ASB or UTI is generally not recommended because treatment does not improve clinical outcomes.
Laboratory diagnosis of urinary tract infections in adult patients.
  • Michael L Wilson, L. Gaido
  • Medicine, Biology
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2004
TLDR
Urinary tract infections are among the most common bacterial infections and account for a significant part of the workload in clinical microbiology laboratories, with the increase in resistance to some antimicrobial agents particularly the resistance to trimethoprim-sulfamethoxazole seen in E. coli.
Management of urinary tract infections in adults.
TLDR
This review will highlight recent advances in the treatment of patients in each of these categories, emphasizing cost-effective strategies that may be particularly important in the coming era.
Urinary Tract Infections in Long-Term–Care Facilities
  • L. Nicolle
  • Medicine
    Infection Control & Hospital Epidemiology
  • 2001
TLDR
A position paper has been developed, using available evidence, to assist facilities and healthcare professionals in managing this common problem of urinary tract infection.
Complicated urinary tract infections.
  • D. Neal
  • Medicine
    The Urologic clinics of North America
  • 2008
Urinary tract infections.
Urine Culture in Uncomplicated UTI: Interpretation and Significance
TLDR
This review focuses on understanding reasons for obtaining a pre-therapy culture, methods of collection, and appropriately interpreting urine culture data.
...
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