Weekend Diagnosis of Escherichia coli Urinary Tract Infection (UTI) Does Not Predict Poor Outcomes

Echaiz, J. F.; Henderson, Jeffrey P.; Warren, D. K.; Marschall, J.

doi:10.1017/S095026881300229X

Back to Previous Page

- Add this to...
- Twitter
- Facebook
- Google Bookmarks
- LinkedIn

Weekend Diagnosis of Escherichia coli Urinary Tract Infection (UTI) Does Not Predict Poor Outcomes

Published Date:

Sep 23 2013

Publisher's site:

http://dx.doi.org/10.1017/S095026881300229X New Site Icon

Source:

Epidemiol Infect. 142(7):1422-1424.

Language:

English

[PDF-92.25 KB]

Details:

Personal Authors:

Echaiz, J. F. ; Henderson, Jeffrey P. ; Warren, D. K. ; Marschall, J. ;

Keywords:

[+]

Pubmed ID:

24059687

Pubmed Central ID:

PMC4684268

Description:

It has been suggested that mortality is higher in patients admitted to hospitals during the weekend. The objective of this study was to compare outcomes in patients with E. coli urinary tract infection (UTI) depending on the hospital admission day. For this purpose, a secondary analysis of data from a prospective cohort of patients with E. coli UTI was conducted. Weekend diagnosis of UTI was not associated with higher mortality. However, mortality was associated with sepsis, sepsis-induced hypotension and intensive care unit (ICU) admission. Sepsis-induced hypotension and ICU admission were independent determinants of mortality. The results indicate that indicators of severity of illness are associated with higher mortality in patients with UTI rather than the time of diagnosis.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

5K12HD001459-13/HD/NICHD NIH HHS/United States
CU54 CK 000162/CK/NCEZID CDC HHS/United States
KL2 RR024994/RR/NCRR NIH HHS/United States
KL2RR024994/RR/NCRR NIH HHS/United States

Supporting Files:

nihms744238.nxml

application/octet-stream

No Related Documents.

You May Also Like:

Effect of a Stewardship Intervention on Adherence to Uncomplicated Cystitis and Pyelonephritis Guidelines in an Emergency Department Setting

Personal Author:

Hecker, Michelle T.; Fox, Clinton J.; Son, Andrea H.; Cydulka, Rita K.; Siff, Jonathan E.; Emerman, Charles L.; Sethi, Ajay K.; Muganda, Christine P.; Donskey, Curtis J.;

Published:

Feb 03 2014

Source:

PLoS One. 2014; 9(2).

Description:

Objective : To evaluate adherence to uncomplicated urinary tract infections (UTI) guidelines and UTI diagnostic accuracy in an emergency department (ED) setting before and after implementation of an antimicrobial stewardship intervention. : Methods :...

File Type:

[PDF - 268.16 KB]
Fluoroquinolone-Resistant and Extended-Spectrum β-Lactamase–Producing Escherichia coli Infections in Patients with Pyelonephritis, United States1

Personal Author:

Talan, David A.; Takhar, Sukhjit S.; Krishnadasan, Anusha; Abrahamian, Fredrick M.; Mower, William R.; Moran, Gregory J.;

Corporate Author:

EMERGEncy ID Net Study Group

Published:

Sep 2016

Source:

Emerg Infect Dis. 22(9):1594-1603.

Description:

For 2013-2014, we prospectively identified US adults with flank pain, temperature >38.0°C, and a diagnosis of acute pyelonephritis, confirmed by culture. Cultures from 453 (86.9%) of 521 patients grew Escherichia coli. Among E. coli isolates from 27...

File Type:

[PDF - 908.13 KB]
Patient characteristics but not virulence factors discriminate between asymptomatic and symptomatic E. coli bacteriuria in the hospital

Personal Author:

Marschall, Jonas; Piccirillo, Marilyn L.; Foxman, Betsy; Zhang, Lixin; Warren, David K.; Henderson, Jeffrey P.;

Published:

May 10 2013

Source:

BMC Infect Dis. 2013; 13:213.

Description:

Background : Escherichia coli is a common cause of asymptomatic and symptomatic bacteriuria in hospitalized patients. Asymptomatic bacteriuria (ASB) is frequently treated with antibiotics without a clear indication. Our goal was to determine patient ...

File Type:

[PDF - 192.24 KB]
Low correlation between self-report and medical record documentation of urinary tract infection (UTI) symptoms

Personal Author:

Echaiz, Jose F.; Cass, Candice; Henderson, Jeffrey P.; Babcock, Hilary M.; Marschall, Jonas;

Published:

Jun 16 2015

Source:

Am J Infect Control. 43(9):983-986.

Description:

Correlations between symptom documentation in medical records and patient self-report (SR) vary depending on the condition studied. Patient symptoms are particularly important in urinary tract infection (UTI) diagnosis, and this correlation for UTI s...

File Type:

[PDF - 95.50 KB]
High fluoroquinolone MIC is associated with fluoroquinolone treatment failure in urinary tract infections caused by fluoroquinolone susceptible Escherichia coli

Personal Author:

Rattanaumpawan, Pinyo; Nachamkin, Irving; Bilker, Warren B.; Roy, Jason A.; Metlay, Joshua P.; Zaoutis, Theoklis E.; Lautenbach, Ebbing;

Corporate Author:

on behalf of the CDC prevention epicenters program

Published:

Apr 08 2017

Source:

Ann Clin Microbiol Antimicrob. 16.

Description:

Background : Suboptimal clinical response to fluoroquinolone (FQ) therapy has been clearly documented in patients with Salmonella typhi infection with reduced FQ susceptibility. However, the clinical impact of reduced FQ susceptibility on other infec...

File Type:

[PDF - 922.58 KB]