摘要
Introduction
<p>To describe characteristics of urinary tract infections attended in an Emergency Department. To assess antibiotic prescription and inappropriate treatment implications.Methods
<p>Adults patients attended in an Emergency Department during 2 months with UTI confirmed with urocultive were included. Appropriate antibiotic treatment was considered if the first antibiotic used was sensitive. We compared patients with appropriate and inappropriate antibiotic treatment. A logistic regression was performed to evaluate variables associated to inappropriate antibiotic treatment.Results
<p>A total of 151 patients were included (61%women, 67.1[22.3] years). Comorbidity was present in 63%of patients. Urinary sepsis was the most frequent diagnosis (32.5%). E coli was isolated in 65.6%of cases, and 10%presented bacteremia. Percentage of inappropriate antibiotic treatment was 20.5. It was associated (uncontrolled analysis) with male gender, elder patients, recent urinary simptoms, urologic manipulation more than 1 month ago, previous antibiotic use (especially ciprofloxacin or amoxicillin-clavulanate) and presentation with urinary sepsis. Logistic regression analysis showed association only with age (HR 0.978 per year, CI95%0.957鈥?, p=0.029) and previous antibiotic use (HR 0.298, CI95%0.098鈥?.901, p=0.05). Patients with inappropriate antibiotic treatment did not have higher mortality.Conclusions
<p>Inappropriate antibiotic treatment for UTI in Emergency Department is relatively frequent and it is associated to older age and previous antibiotic use.
