254 Antibiogram Does Not Predict Escherichia Coli Resistance to Ciprofloxacin in Women Presenting With Uncomplicated Urinary Tract Infection to an Urban, Academic Medical Center Emergency Department: A Prospective, Observational Study

2014 ◽  
Vol 64 (4) ◽  
pp. S91
Author(s):  
T. Al-Salamah ◽  
M.C. Hines ◽  
B. Hayes ◽  
E. Heil ◽  
M. Witting ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Emergency Department ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Prospective Observational Study ◽  
Medical Center ◽  
Academic Medical Center ◽  
Uncomplicated Urinary Tract Infection ◽  
Academic Medical

The Impact of 2015 NHSN Catheter-associated Urinary Tract Infection (CAUTI) Definition Change on Central Line-associated Bloodstream Infection (CLABSI) Rates and CLABSI Prevention Efforts at an Academic Medical Center

2018 ◽  
Vol 39 (07) ◽  
pp. 878-880 ◽  
Author(s):  
Sonali D. Advani ◽  
Rachael A. Lee ◽  
Martha Long ◽  
Mariann Schmitz ◽  
Bernard C. Camins
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Bloodstream Infection ◽  
Medical Center ◽  
Academic Medical Center ◽  
Bloodstream Infections ◽  
Central Line ◽  
Academic Medical ◽  
The Impact

The 2015 changes in the catheter-associated urinary tract infection definition led to an increase in central line-associated bloodstream infections (CLABSIs) and catheter-related candidemia in some health systems due to the change in CLABSI attribution. However, our rates remained unchanged in 2015 and further declined in 2016 with the implementation of new vascular-access guidelines.Infect Control Hosp Epidemiol 2018;878–880

scholarly journals Microbiological profile of urinary tract infection in patients with burn injuries

2021 ◽  
Vol 8 (9) ◽  
pp. 2695
Author(s):  
Rajib Kundu ◽  
Swapan Das ◽  
Bani P. Chattopadhyay
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Prospective Observational Study ◽  
Susceptibility Testing ◽  
Burn Injuries ◽  
Exclusion Criteria ◽  
Microbiological Profile ◽  
Study Population

Background: As per WHO around 1,95,000 people died every year due to burn injuries. After initial 72 hours, Infections are the most common cause of death in patients with burn injuries and urinary tract infection was second most commonly reported infectious complication. This study was tried to determine the pattern of microorganisms responsible for urinary tract infection.Methods: After matching inclusion and exclusion criteria, total 55 patients were taken for this institution based prospective observational study. Samples were collected on day 7 and cultured aerobically in MacConkey agar and 5% blood agar and antibiotic susceptibility testing was done on Muller Hinton agar using Kirby-Bauer disc diffusion method.Results: 29.1% samples were positive for microorganisms, of which Escherichia coli was most common isolated organism, it is found in 18.2 % of study population. nitrofurantoin was found to be most effective antibiotic against Escherichia coli.Conclusions: Gram-negative cocci were most prevalent organisms, causing urinary tract infection in patients with burn injuries. Escherichia coli was most common isolated organism and nitrofurantoin was most effective against it. Overall piperacillin/tazobactam has height sensitivity.

scholarly journals Comparison of CRB/CRB-65, qSOFA, and SIRS for Risk Prediction in Patients with Urinary Tract Infection

2020 ◽  
Author(s):  
Sung Jin Bae ◽  
Jae Hee Lee ◽  
Yoon Hee Choi
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Hospital Mortality ◽  
Sensitivity And Specificity ◽  
Early Recognition ◽  
Medical Center ◽  
Baseline Characteristic ◽  
Icu Admission

Abstract Background: Early recognition of sepsis is critical for improving patient outcomes. In approximately 20%-30% of patients, sepsis resulted from urinary tract infection (UTI). This study aimed to investigate the effectiveness of CRB (confusion, respiratory rate, blood pressure), CRB-65, and quick sequential organ failure assessment (qSOFA) in predicting intensive care unit (ICU) admission and in-hospital mortality of patients with UTI and compare them with Systemic Inflammatory Response Syndrome (SIRS). Methods: This retrospective cohort study included patients with UTI who visited the emergency department of a single medical center between February 2018 and March 2020. Baseline characteristic data were obtained and compared with the prevalence of ICU admission and in-hospital mortality. The effectiveness of CRB, CRB-65, qSOFA, and SIRS as indicators of ICU admission and in-hospital mortality was evaluated using the area under the receiver operating characteristic (AUROC) curve. Results: Overall, 1151 patients were included in this study, of whom 132 (11.5%) were admitted to the ICU and 30 (2.6%) succumbed to in-hospital mortality. AUROC values of CRB, CRB-65, and qSOFA as predictors of ICU admission and in-hospital mortality were similar. The CRB score of ≥1 had a sensitivity and specificity of 71.3% and 73.5%, respectively, for ICU admission and 66.7% and 69.2%, respectively, for in-hospital mortality. The CRB-65 score of ≥2 had a sensitivity and specificity of 61.2% and 80.9%, respectively, for ICU admissions and 60% and 76.9%, respectively, for in-hospital mortality. The qSOFA score of ≥1 had a sensitivity and specificity of 71.3% and 79.6%, respectively, for ICU admission and 66.7% and 74.8%, respectively, for in-hospital mortality. Conclusion: CRB, CRB-65, and qSOFA were more effective predictors than SIRS for patients with UTI. CRB, CRB-65, and qSOFA had similar general values for predicting outcomes in patients with UTI in the emergency department.

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