Opportunities for antibiotic stewardship in emergency department or hospitalized patients with asymptomatic bacteriuria: identifying risk factors for antibiotic treatment

Morgan L Bixby; Brian R Raux; Aakansha Bhalla; Christopher McCoy; Elizabeth B Hirsch

doi:10.1017/ash.2022.4

Opportunities for antibiotic stewardship in emergency department or hospitalized patients with asymptomatic bacteriuria: identifying risk factors for antibiotic treatment

Antimicrob Steward Healthc Epidemiol. 2022 Jan 31;2(1):e16. doi: 10.1017/ash.2022.4. eCollection 2022.

Authors

Morgan L Bixby¹, Brian R Raux^{2

3}, Aakansha Bhalla^{2

4}, Christopher McCoy⁵, Elizabeth B Hirsch¹

Affiliations

¹ University of Minnesota College of Pharmacy, Minneapolis, Minnesota.
² Northeastern University, Boston, Massachusetts.
³ Medical University of South Carolina, Charleston, South Carolina.
⁴ Department of Pharmacy, Brigham and Women's Hospital, Boston, Massachusetts.
⁵ Department of Pharmacy, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Abstract

Antibiotic treatment of asymptomatic bacteriuria (ASB) is considered inappropriate and may lead to adverse events. This 2-center, retrospective cohort study including emergency department or inpatient adults identified pyuria (odds ratio, 2.43; 95% confidence interval, 1.17-5.01; P = .02) as the only independent risk factor for antibiotic treatment of ASB.