Pediatric revisits, admissions for UTI similar with oral or IV meds
Pradip P. Chaudhari, M.D., from Children's Hospital Los Angeles and the Keck School of Medicine, and colleagues analyzed administrative data from 36 pediatric hospitals to identify 29,919 patients (aged 29 days to 2 years) who were evaluated in the emergency department with a UTI (2010 to 2016). Emergency department revisits within three days of initial visit were evaluated.
The researchers found that 36 percent of the children received parenteral antibiotics before discharge. Adjusted rates of revisits leading to admission were similar between patients who received parenteral antibiotics and those who did not receive parenteral antibiotics (risk difference, 0.3 percent). However, overall revisit rates were higher among patients who received parenteral antibiotics (risk difference, 1.5 percent).
"Among discharged patients, a parenteral dose of antibiotics did not reduce revisits leading to admission, supporting the goal of discharging patients with oral antibiotics alone for most children with UTIs," the authors write.
Copyright © 2018 HealthDay. All rights reserved.