Transcription of Urinary Tract Infections - ACCP
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Urinary Tract Infections - ACCP
7 PSAP 2018 BOOK 1 Infectious DiseasesUrinary Tract InfectionsIntroductIonAccording to the CDC, UTIs are the most common bacterial infection requiring medical care, resulting in million ambulatory care visits in 2007, 23% of which occurred in the ED (CDC 2011). Over million patients in the United States visited the ED for the treatment of UTIs between 2006 and 2009 and million patients ( ) were admit-ted to acute care hospitals (Sammon 2014). The economic burden of using the ED for the treatment of UTIs is estimated at $2 billion annu-ally. In addition, UTIs rank as the No. 1 infection that leads to an anti-biotic prescription after a physician s visit (Abbo 2014).Catheter-associated UTIs (CA-UTIs) are the most common type of health care associated Infections reported to the National Health-care Safety Network, making up two-thirds of hospital-acquired UTIs (CDC 2017). The symptoms of UTIs are generally mild, and inappro-priate use of antibiotics can lead to antibiotic resistance ; therefore, it is important to establish the appropriate criteria for treatment using narrow-spectrum antibiotics for the optimal Up to 60% of women have at least one symptomatic UTI during their lifetime.
acquired UTIs, and E. coli resistance to ciprofloxacin was 29% in patients 65 and older (Sanchez 2016). The Study for Monitoring Antimicrobial Resistance Trends reported that among 3498 E. coli isolates from hos-pitals in Canada and the United States, extended-spectrum β-lactamase (ESBL) rates increased from 7.8% in 2010 to 18.3% in 2014 (Lob ...
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