Alyssa Stevenson
PharmD Candidate of 2026 | University of Kentucky College of Pharmacy
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ASHP Midyear 2025 Poster Presentation
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ASHP Midyear 2025 Poster Presentation
Alyssa Stevenson, PharmD Candidate 2026; Komal Pandya, PharmD, MBA, BCCCP, FCCM; Marianne Carter, PharmD; University of Kentucky HealthCare, Lexington, K
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Urinary Tract Infection Management in the Emergency Department
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Urinary Tract Infection Management in the Emergency Department
Urinary tract infections (UTIs) represent one of the most common infectious conditions encountered in emergency departments (EDs), accounting for millions of annual visits and substantial healthcare costs. Accurate diagnosis is essential to optimize patient outcomes and support antimicrobial stewardship. This review outlines updated Infectious Diseases Society of America (IDSA) definitions for uncomplicated and complicated UTIs (cUTIs), emphasizing the importance of correlating urinary symptoms, pyuria, and culture results when determining true infection versus asymptomatic bacteriuria (ASB). Misinterpretation of urinalysis findings—such as nitrites, cloudy urine, or colonization in patients without urinary symptoms—contributes significantly to overtesting and overtreatment. Evidence demonstrates that ASB is frequently treated inappropriately, exposing patients to unnecessary antimicrobials and increasing the risk for multidrug-resistant organisms.
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