Urinary E. coli Isolates Differ in Admitted vs. Discharged ED Patients

Retrospective study finds significant differences in antibiotic sensitivities by patient disposition.

Patients with urinary tract infections (UTIs) who are chronically ill or unstable are likely to harbor antibiotic-resistant organisms. In a retrospective study involving two hospitals, investigators compared antibiotic susceptibilities of urinary E. coli strains isolated from discharged ED patients with those of isolates from admitted ED patients.

At both hospitals, likelihood of antibiotic susceptibility was higher among isolates from discharged ED patients than admitted ED patients. At the first hospital, 92% of antibiotics had higher rates of susceptibility in the discharged group. At the second hospital, 29% of antibiotics had higher rates of susceptibility in the discharged group.

Reviewing Author

Daniel J. Pallin, MD, MPH

Disclosures

Consultant/Advisory BoardPortola Pharmaceuticals, Inc.

Speaker’s BureauPeerView Institute for Medical Education

Grant/Research SupportAgency for Healthcare Research and Quality; CDC; NIH–National Center for Advancing Translational Sciences; NIH–National Institute of Allergy and Infectious Diseases (NIAID); NIH–NIAID–Antibacterial Resistance Leadership Group; Merck; Pfizer; Boehringer-Ingelheim; Shire; Portola Pharmaceuticals, Inc.; Novartis; bioMérieux; Siemens; Rapid Pathogen Screening; Magnolia; Stago; Innovative Biosensors; Molecular Detection, Inc.; Dyax Corp.; Trius Pharmaceuticals

Daniel J. Pallin, MD, MPH

Disclosures

Consultant/Advisory BoardPortola Pharmaceuticals, Inc.

Speaker’s BureauPeerView Institute for Medical Education

Urinary E. coli Isolates Differ in Admitted vs. Discharged ED Patients

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Reviewing Author