Prospective Evaluation of Antibiotic Sensitivities for Uncomplicated Cystitis at Banner – University Medical Center Tucson’s Emergency Department

Persistent Link:
http://hdl.handle.net/10150/613989
Title:
Prospective Evaluation of Antibiotic Sensitivities for Uncomplicated Cystitis at Banner – University Medical Center Tucson’s Emergency Department
Author:
Lee-Chan, Douglas; Edwards, Chris; Sloan, Colgan
Affiliation:
College of Pharmacy, The University of Arizona
Issue Date:
2016
Rights:
Copyright © is held by the author.
Collection Information:
This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Associate Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
Publisher:
The University of Arizona.
Abstract:
Objectives: To determine if the uncomplicated cystitis population at Banner - University Medical Center Tucson’s (BUMCT) emergency department (ED) is significantly different from the hospital-wide antibiogram. Methods: A prospective, analytical, observational study was performed in the ED at BUMCT. Electronic health records were used to include or exclude patients in the study. Cultures were then compiled and compared to the hospital-wide, 2014 BUMCT antibiogram using a one sample Chi-square goodness of fit test to determine if there was a significant difference between the two proportions. Results: 159 cultures and susceptibilities were analyzed with E. coli and K. pneumoniae being the most common organisms. For E. coli, it was observed that 46.92% were susceptible to ampicillin while 45% was reported by the hospital’s antibiogram (P=0.772), 93.08% compared to 88% for cefazolin (P=0.185), 94.62% compared to 93% for ceftriaxone (P=0.611), 83.08% compared to 78% for ciprofloxacin (P=0.332), 89.23% compared to 90% for nitrofurantoin (P=0.850), and 63.85% compared to 66% for TMP/SMX (P=0.735). For K. pneumoniae, it was observed that 100% of isolates were susceptible to cefazolin, ceftriaxone, and ciprofloxacin compared to 95%, 96%, and 95%, respectively (P=0.254; P=0.309; P=0.254); 40% compared to 28% for nitrofurantoin (P=0.243); and 88% compared to 91% for TMP/SMX (P=0.649). Conclusions: The observed and predicted susceptibilities were not different for any of the drugs and organisms. Our study indicates that the hospital-wide antibiogram used at BUMCT is adequate in treating patients with uncomplicated cystitis coming into their ED.
Description:
Class of 2016 Abstract
Keywords:
Antibiotic; Sensitivities; Uncomplicated Cystitis; Emergency Department; Banner – University Medical Center; Tucson
Advisor:
Edwards, Chris; Sloan, Colgan

Full metadata record

DC FieldValue Language
dc.contributor.advisorEdwards, Chrisen
dc.contributor.advisorSloan, Colganen
dc.contributor.authorLee-Chan, Douglasen
dc.contributor.authorEdwards, Chrisen
dc.contributor.authorSloan, Colganen
dc.date.accessioned2016-06-21T21:28:13Z-
dc.date.available2016-06-21T21:28:13Z-
dc.date.issued2016-
dc.identifier.urihttp://hdl.handle.net/10150/613989-
dc.descriptionClass of 2016 Abstracten
dc.description.abstractObjectives: To determine if the uncomplicated cystitis population at Banner - University Medical Center Tucson’s (BUMCT) emergency department (ED) is significantly different from the hospital-wide antibiogram. Methods: A prospective, analytical, observational study was performed in the ED at BUMCT. Electronic health records were used to include or exclude patients in the study. Cultures were then compiled and compared to the hospital-wide, 2014 BUMCT antibiogram using a one sample Chi-square goodness of fit test to determine if there was a significant difference between the two proportions. Results: 159 cultures and susceptibilities were analyzed with E. coli and K. pneumoniae being the most common organisms. For E. coli, it was observed that 46.92% were susceptible to ampicillin while 45% was reported by the hospital’s antibiogram (P=0.772), 93.08% compared to 88% for cefazolin (P=0.185), 94.62% compared to 93% for ceftriaxone (P=0.611), 83.08% compared to 78% for ciprofloxacin (P=0.332), 89.23% compared to 90% for nitrofurantoin (P=0.850), and 63.85% compared to 66% for TMP/SMX (P=0.735). For K. pneumoniae, it was observed that 100% of isolates were susceptible to cefazolin, ceftriaxone, and ciprofloxacin compared to 95%, 96%, and 95%, respectively (P=0.254; P=0.309; P=0.254); 40% compared to 28% for nitrofurantoin (P=0.243); and 88% compared to 91% for TMP/SMX (P=0.649). Conclusions: The observed and predicted susceptibilities were not different for any of the drugs and organisms. Our study indicates that the hospital-wide antibiogram used at BUMCT is adequate in treating patients with uncomplicated cystitis coming into their ED.en
dc.language.isoen_USen
dc.publisherThe University of Arizona.en
dc.rightsCopyright © is held by the author.en
dc.subjectAntibioticen
dc.subjectSensitivitiesen
dc.subjectUncomplicated Cystitisen
dc.subjectEmergency Departmenten
dc.subjectBanner – University Medical Centeren
dc.subjectTucsonen
dc.titleProspective Evaluation of Antibiotic Sensitivities for Uncomplicated Cystitis at Banner – University Medical Center Tucson’s Emergency Departmenten_US
dc.typetexten
dc.typeElectronic Reporten
dc.contributor.departmentCollege of Pharmacy, The University of Arizonaen
dc.description.collectioninformationThis item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Associate Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.en
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