Miguel Ángel Aguilar-Jurado, Pedro Gil-Madrona, Juan Francisco Ortega-Dato, David Zamorano-García
Effects of an Educational Glass Recycling Program against Environmental Pollution in Spain
International journal of environmental research and public health
pyuria nonspecific may result overtreatment asymptomatic bacteriuria asb infectious diseases society america recommends antibiotic treatment asb patients including presenting altered mental status ams close observation recommended treatment avoid missing alternative causes ams overuse antibiotics resulting adverse events resistance purpose study evaluate patient outcomes associated antibiotic treatment pyuria patients presenting ams hospital admission without specific urinary tract infection uti symptoms primary objective compare 30day readmission rates patients pyuria ams treated antibiotics amstx versus treated amsnotx secondary outcomes included identifying risk factors antibiotic treatment comparing alternative diagnoses ams comparing safety outcomes retrospective cohort study evaluated adult patients ams pyuria 10 wbchpf admitted february 1 2020 october 1 2021 350bed community teaching hospital patients documented urinary symptoms excluded additional exclusion criteria included admission critical care history renal transplant urological surgery coinfections pregnancy neutropenia twohundred patients included amstx n 162 amsnotx n38 difference 30day hospital readmission rate ams groups amstx 167 vs amsnotx 237 p 0311 alternative diagnosis ams occurred frequently antibiotics withheld amstx 66 vs amsnotx 868 p 0012 urinalyses showing bacteria odds ratio 252 95 ci 1115731 positive urine culture 336 95 ci 1467711 associated antibiotic prescribing inappropriate antibiotic use common among hospitalized patients presenting ams pyuria however treatment asymptomatic pyuria decrease rates subsequent readmission ams retreatment symptomatic uti patients monitored antibiotics higher rates alternative ams diagnosis