Acute pyelonephritis and catheter-associated urinary tract infection (CAUTI) in adult patients presenting to the emergency department
Conditions
Interventions
Standard of care: Treatment based on the physician decision ,Hospital treatment guideline: Treatment followed the implemented hospital guideline (intervention)
Standard of care,Hospital treatment guideline
Sponsors
Faculty of Medicine, Chiang Mai University
Eligibility
Sex/Gender
All
Age
20 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Adult patients (aged 20 years or older) diagnosed with acute pyelonephritis or catheter-associated urinary tract infection (CAUTI) in the ED. 2. Patients who received the first dose of antibiotics in the ED
Exclusion criteria
Exclusion criteria: 1. Immunocompromised patients (e.g., acquired immunodeficiency syndrome (AIDS), received chemotherapy within 3 months, or organ transplant recipients) 2. Pregnant patients 3. Patients diagnosed with a co-infection concurrently diagnosed with UTI 4. Patients with suspected or confirmed acute bacterial prostatitis; diagnosis of orchitis or epididymitis; or known chronic bacterial prostatitis based on medical history and/or physical examination 5. Patients with pre-existing urological conditions (e.g., chronic nephrolithiasis, presence of ureteral stents) 6. Patients with complications of urinary tract infection, including renal abscess, infected renal cyst, or emphysematous pyelonephritis 7. Patients with an expected death within 72 hours or those receiving palliative care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Antibiotic appropriateness At the time of initial antibiotic prescription in the Emergency Department. Medical record review using a standardized case record form (CRF) to collect patient characteristics, clinician decision-making, infection type, and laboratory data related to antibiotic prescriptions | — |
Secondary
| Measure | Time frame |
|---|---|
| Contributing factors to inappropriate antibiotic prescriptions At the time of initial antibiotic prescription in the Emergency Department. Medical record review using a standardized case record form (CRF) to collect patient characteristics, clinician decision-making, infection type, and laboratory data related to antibiotic prescriptions | — |
Countries
Thailand
Contacts
Public ContactSaikhuan Towachiraporn
Faculty of Medicine, Chiang Mai University
Outcome results
None listed