Appropriate prescription of cytobacteriological urine examinations in older adults.

IF 0.8 Q4 UROLOGY & NEPHROLOGY

Urologia Journal Pub Date : 2024-08-01 Epub Date: 2024-04-01 DOI:10.1177/03915603241244936

Hendriniaina Raveloson, Jihène Ben Hassen, Rihab Koraib, Aziza Jhouri, Joël Schlatter

{"title":"Appropriate prescription of cytobacteriological urine examinations in older adults.","authors":"Hendriniaina Raveloson, Jihène Ben Hassen, Rihab Koraib, Aziza Jhouri, Joël Schlatter","doi":"10.1177/03915603241244936","DOIUrl":null,"url":null,"abstract":"<p><p>Cytobacteriological urine examinations (CBEU) are frequently ordered for the older adults, sometimes without straightforward indication and with the risk of prescribing empirical antibiotics. The aim of this study was to evaluate the relevance of the CBEU prescription and empiric antibiotic therapy in our geriatric hospital. Among 129 patients (mean age 84 years, sex ratio 0.69), 229 CBEU were collected with 20.9% of inappropriate indication. Cultures were sterile in 43% (n = 99) of cases and positive in 57% (n = 130) cases. Gram-negative bacilli dominated the isolated bacteria (76.9%) followed by gram-positive cocci (17.6%). In 113 patients, probabilistic antibiotic therapy was prescribed of which 68 treatments were initiated before the CBEU. Ceftriaxone and amoxicillin plus clavulanic acid were the main therapeutic option used representing 70.8% of cases. Antibiotic therapy was re-evaluated after 3 days in 74.3% of patients. Efforts to reduce the number of useless ECBUs by training doctors to follow official guidelines are a priority.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"582-585"},"PeriodicalIF":0.8000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urologia Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/03915603241244936","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/1 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Cytobacteriological urine examinations (CBEU) are frequently ordered for the older adults, sometimes without straightforward indication and with the risk of prescribing empirical antibiotics. The aim of this study was to evaluate the relevance of the CBEU prescription and empiric antibiotic therapy in our geriatric hospital. Among 129 patients (mean age 84 years, sex ratio 0.69), 229 CBEU were collected with 20.9% of inappropriate indication. Cultures were sterile in 43% (n = 99) of cases and positive in 57% (n = 130) cases. Gram-negative bacilli dominated the isolated bacteria (76.9%) followed by gram-positive cocci (17.6%). In 113 patients, probabilistic antibiotic therapy was prescribed of which 68 treatments were initiated before the CBEU. Ceftriaxone and amoxicillin plus clavulanic acid were the main therapeutic option used representing 70.8% of cases. Antibiotic therapy was re-evaluated after 3 days in 74.3% of patients. Efforts to reduce the number of useless ECBUs by training doctors to follow official guidelines are a priority.

查看原文本刊更多论文

老年人尿液细胞细菌学检查的适当处方。

老年人经常需要进行细胞细菌尿液检查（CBEU），但有时并没有明确的指征，而且有可能开出经验性抗生素处方。本研究旨在评估本院老年病医院中细胞细菌尿液检查处方与经验性抗生素治疗的相关性。在 129 名患者（平均年龄 84 岁，性别比 0.69）中，共收集到 229 份 CBEU，其中 20.9% 的处方不恰当。无菌培养占 43%（99 例），阳性培养占 57%（130 例）。分离出的细菌以革兰阴性杆菌为主（76.9%），其次是革兰阳性球菌（17.6%）。113 例患者接受了概率性抗生素治疗，其中 68 例在 CBEU 之前开始治疗。头孢曲松和阿莫西林加克拉维酸是主要的治疗方案，占 70.8%。74.3%的患者在 3 天后对抗生素疗法进行了重新评估。当务之急是通过培训医生遵守官方指南，减少无用的ECBU数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Urologia Journal UROLOGY & NEPHROLOGY-

CiteScore

0.60

自引率

12.50%

发文量