{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:47:29Z","timestamp":1762102049350},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2017,6,7]],"date-time":"2017-06-07T00:00:00Z","timestamp":1496793600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec id=\"S1481803517000392_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>To determine the number of urine cultures ordered for women who presented to the emergency department (ED) with symptoms of uncomplicated UTI, and whether a culture result impacted subsequent management.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803517000392_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This was a retrospective chart review of non-pregnant women aged 18-39 presenting to one of two academic EDs with a discharge diagnosis of uncomplicated UTI over a one-year study period. Patients were excluded if there was documentation of fever, immunocompromised state, diabetes mellitus, absence of lower urinary tract symptoms, ED administration of intravenous antibiotics, a previous UTI treated with antibiotics in the last 90 days, two weeks post-partum or post-instrumentation.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803517000392_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Of the 512 charts included in the analysis, 494 (96.5%) patients had a urinalysis, of which 463 (93.7%) had positive leukocyte esterase and 90 (18.2%) had positive nitrites. 370 patients (72.3%) had urine cultures performed, of which 236 (63.8%) were positive. 505 (98.6%) patients received antibiotics (53.9% Macrobid; 22.6% Ciprofloxacin; 15.0% Septra; 6.7% other; 1.8% not documented). 7 (1.9%) cultures grew organisms resistant to the prescribed antibiotic; 2 (0.5%) patients received new prescriptions.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803517000392_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>For the majority of young female patients with an uncomplicated UTI, urine cultures did not change management in the ED setting. However, when the diagnosis is uncertain based on symptomology and urinalyses alone, a urine culture may be warranted. Greater efforts should be directed towards educating emergency physicians on accurately diagnosing uncomplicated cystitis and the limited impact of urine cultures on treatment once a diagnosis has been made.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2017.39","type":"journal-article","created":{"date-parts":[[2017,6,7]],"date-time":"2017-06-07T08:10:17Z","timestamp":1496823017000},"page":"572-577","source":"Crossref","is-referenced-by-count":5,"title":["Uncomplicated urinary tract infections in the emergency department: a review of local practice patterns"],"prefix":"10.1007","volume":"20","author":[{"given":"Elizabeth","family":"Poon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Self","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelley L.","family":"McLeod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Caine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bjug","family":"Borgundvaag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2017,6,7]]},"reference":[{"key":"S1481803517000392_ref10","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2004.08.051"},{"key":"S1481803517000392_ref14","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1302186"},{"key":"S1481803517000392_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c279"},{"key":"S1481803517000392_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)00122-9"},{"key":"S1481803517000392_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-14-71"},{"key":"S1481803517000392_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.01.028"},{"key":"S1481803517000392_ref15","first-page":"S33","article-title":"Do urine cultures in the emergency department change management of young women with symptoms of lower urinary tract infection?","volume":"16","author":"Phillips","year":"2014","journal-title":"CJEM"},{"key":"S1481803517000392_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(02)01054-9"},{"key":"S1481803517000392_ref12","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq257"},{"key":"S1481803517000392_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2006.12.010"},{"key":"S1481803517000392_ref13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0087899"},{"key":"S1481803517000392_ref1","first-page":"771","article-title":"Diagnosis and treatment of acute uncomplicated cystitis","volume":"1;84","author":"Colgan","year":"2011","journal-title":"Am Fam Physician"},{"key":"S1481803517000392_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.20.2701"},{"key":"S1481803517000392_ref7","volume-title":"Anti-Infective Guidelines for Community-Acquired Infections","year":"2013"},{"key":"S1481803517000392_ref17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c199"},{"key":"S1481803517000392_ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b5633"},{"key":"S1481803517000392_ref8","doi-asserted-by":"publisher","DOI":"10.1155\/2008\/404939"},{"key":"S1481803517000392_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h6544"},{"key":"S1481803517000392_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-11-78"}],"container-title":["CJEM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1481803517000392","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T23:49:01Z","timestamp":1609458541000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1481803517000392\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,7]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["S1481803517000392"],"URL":"https:\/\/doi.org\/10.1017\/cem.2017.39","relation":{},"ISSN":["1481-8035","1481-8043"],"issn-type":[{"value":"1481-8035","type":"print"},{"value":"1481-8043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,7]]}}}