Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study
Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study (British Medical Journal).
Objective To evaluate the association between antibiotic treatment for urinary tract infection (UTI) and severe adverse outcomes in elderly patients in primary care.
[...]
The rate
of bloodstream infection was significantly higher among those patients not
prescribed an antibiotic (2.9%; n=647) and those recorded as revisiting the
general practitioner within seven days of the initial consultation for an
antibiotic prescription compared with those given a prescription for an
antibiotic at the initial consultation (2.2% v 0.2%; P=0.001).
[...]
In the context of an increase of Escherichia coli
bloodstream infections in England, early initiation of recommended first line
antibiotics for UTI in the older population is advocated.
[...]
Quelle: British Medical Journal, 27.02.2019
