Meeting
Abstract Number: 184
Hospital Medicine 2020, Virtual Competition
Background: Nearly half of hospitalized patients with bacteriuria or treated for pneumonia receive unnecessary antibiotics (non-infectious/non-bacterial syndrome, e.g., asymptomatic bacteriuria), excess duration (antibiotics prescribed for longer than necessary), or avoidable fluoroquinolones (safer alternative available) at hospital discharge.1-3 However, it is unknown whether antibiotic overuse at discharge varies between hospitals or is associated with patient outcomes. […]
Abstract Number: 200
SHM Converge 2023
Background: Asymptomatic bacteriuria (ASB), or bacterial growth on urine culture without localizing urinary symptoms, is common in hospitalized patients.1,2 ASB is often misdiagnosed as urinary tract infection (UTI) and treated with antibiotics3 despite no improvement in mortality1 and multiple harms associated with antibiotic overuse.4,5 To reduce treatment of ASB, many hospitals set urinalysis parameters (e.g. […]
Abstract Number: 771
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old male with uncontrolled Type II diabetes presented to urgent care with back pain in the absence of urinary tract symptoms. Urine cultures were positive for Methicillin-resistant Staphylococcus aureus (MRSA) and he was diagnosed with pyelonephritis and treated with Bactrim. His back pain persisted and he re-presented to the outside hospital. Finally, […]