Outcomes of patients with bacteriuria/pyuria of clinically undetermined significance (BPCUS) treated with antibiotics in 23 community hospital emergency departments

John J. Veillette; C. Dustin Waters; Jared Olson; George Vargyas; Emily M. Ingalls; Mary A. Hutton; Nick Tinker; Stephanie S. May; Rachel A. Foster; Jena Stallsmith; Todd J. Vento

doi:10.1017/ash.2023.204

Antimicrobial Stewardship & Healthcare Epidemiology (Jan 2023)

Outcomes of patients with bacteriuria/pyuria of clinically undetermined significance (BPCUS) treated with antibiotics in 23 community hospital emergency departments

John J. Veillette,
C. Dustin Waters,
Jared Olson,
George Vargyas,
Emily M. Ingalls,
Mary A. Hutton,
Nick Tinker,
Stephanie S. May,
Rachel A. Foster,
Jena Stallsmith,
Todd J. Vento

Affiliations

John J. Veillette: ORCiD; Infectious Diseases Telehealth Service, Intermountain Healthcare, Murray, UT, USA Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA
C. Dustin Waters: Department of Pharmacy, McKay-Dee Hospital, Ogden, UT, USA
Jared Olson: Department of Pharmacy, Primary Children’s Hospital, Salt Lake City, UT, USA Division of Infectious Diseases, Department of Pediatrics, University of Utah, Salt Lake City, UT, USA
George Vargyas: Utah Emergency Physicians, Intermountain Medical Center Emergency Department, Murray, UT, USA
Emily M. Ingalls: ORCiD; Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA
Mary A. Hutton: ORCiD; Department of Pharmacy, Utah Valley Medical Center, Provo, UT, USA
Nick Tinker: Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA
Stephanie S. May: ORCiD; Infectious Diseases Telehealth Service, Intermountain Healthcare, Murray, UT, USA Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA
Rachel A. Foster: Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA
Jena Stallsmith: Department of Pharmacy, Primary Children’s Hospital, Salt Lake City, UT, USA Division of Infectious Diseases, Department of Pediatrics, University of Utah, Salt Lake City, UT, USA
Todd J. Vento: ORCiD; Infectious Diseases Telehealth Service, Intermountain Healthcare, Murray, UT, USA Division of Clinical Epidemiology and Infectious Diseases, Intermountain Medical Center, Murray, UT, USA

DOI: https://doi.org/10.1017/ash.2023.204
Journal volume & issue: Vol. 3

Abstract

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The optimal management of bacteriuria/pyuria of clinically undetermined significance (BPCUS) is unknown. Among 220 emergency department patients prescribed antibiotics for BPCUS, we found frequent readmissions, which were mitigated by outpatient follow-up visits. Observation and follow-up for an unknown diagnosis should be emphasized over antibiotics due to high likelihood of readmissions.

Published in Antimicrobial Stewardship & Healthcare Epidemiology

ISSN: 2732-494X (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases; Medicine: Public aspects of medicine
Website: https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology

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