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
View on PubMed
doi.org
18 Citations
Background Citations
5

18 Citations

Citation Type

Citation Type

Evaluation and Management of Urinary Tract Infection in the Emergency Department.
Urinary Tract Infection
TLDR
Treatment is aimed at preventing spread to the kidneys or developing into upper tract disease/pyelonephritis, which can cause the destruction of the delicate structures in the nephrons and lead to hypertension.
Antibiotic Sensitivity in Complicated and Uncomplicated UTI in Potuakhali Medical College Hospital
TLDR
Female patients were predominant most common isolated pathogen were Eschericia coli, staphylococcus aureus and Klebsiella, and Amikacin, Nitrofurantoin, Levofloxacins, Meropenam and Amoxicillin+Clavulanate were more sensitive antibiotic.
Antibiotic prescribing for adult bacteriuria and pyuria in community hospital emergency departments.
A diagnostic algorithm for detection of urinary tract infections in hospitalized patients with bacteriuria: The “Triple F” approach supported by Procalcitonin and paired blood and urine cultures
TLDR
The “3F” algorithm supported by PCT and PUB is a promising diagnostic and antimicrobial stewardship tool for the management of suspected UTI.
Reduced utility of early procalcitonin and blood culture determination in patients with febrile urinary tract infections in the emergency department
TLDR
In complicated UTI patients, PCT and BC testing may be more appropriate in the context of improving antibiotic stewardship, or as an integral component of PCT-guided standardized protocols.
PREVALENCE AND CONTROL OF URINARY TRACT INFECTIONS IN AKURE METROPOLIS USING THE EXTRACT FROM Periplaneta americana
TLDR
This research revealed that extracts from the head of P. americana possess antimicrobial efficacy against some pathogenic bacteria implicated in UTIs.
Alternative Management of Uncomplicated UTIs in Women
TLDR
Two common factors emerged in urine that had a better ability to resist bacterial growth: it had a high pH—one that’s more alkaline, in other words—and higher levels of certain metabolites formed by gut microbes.
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
TLDR
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

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Diagnosis and management of urinary tract infection in the emergency department and outpatient settings.
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 infections.
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.
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  • 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.
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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.
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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.
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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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