UMEM Educational Pearls

This retrospective study looked at patients diagnosed with urinary tract infections receiving an IV dose of antibiotics  prior to discharge and compared ED length of stay and return visit rate. They found:

“Parenteral antibiotic administration in the ED was associated with a 60-minute increase in ED LOS compared with those who received an oral antibiotic (P < 0.001) and a 30-minute increase in ED LOS compared with no antibiotic (P < 0.001). No differences were observed in revisits to the ED at 72 hours”

Appears no benefit to the practice of IV antibiotics prior to discharge in UTI patients.

References

Association between antibiotic administration before discharge and emergency department length of stay for urinary tract infection: A retrospective analysis

Mohammed A. Alrashed Stephen J. Perona Mark C. Borgstrom Elias Ramirez-Moreno

JAPhA VOLUME 64, ISSUE 3, 102020, MAY 2024

Published:January 29, 2024DOI:https://doi.org/10.1016/j.japh.2024.01.016