EMERGEncy ID NET: An Emergency Department–Based Emerging Infections Sentinel Network

Talan, David A.; Moran, Gregory J.; Mower, William R.; Newdow, Michael; Ong, Samuel; Slutsker, Laurence; Jarvis, William R.; Conn, Laura A.; Pinner, Robert W.

doi:10.1016/s0196-0644(98)70071-x

Cited by 66 publications

(29 citation statements)

References 19 publications

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“…We recruited adults seeking care in EMERGE ncy ID NET, a network of 10 university-affiliated urban US EDs ( 12 ). All 10 study sites (Technical Appendix) provided institutional review board approval.…”

Section: Methodsmentioning

confidence: 99%

Fluoroquinolone-Resistant and Extended-Spectrum β-Lactamase–ProducingEscherichia coliInfections in Patients with Pyelonephritis, United States1

Talan¹,

Takhar²,

Krishnadasan³

et al. 2016

Emerg. Infect. Dis.

109

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Section: Methodsmentioning

confidence: 99%

Fluoroquinolone-Resistant and Extended-Spectrum β-Lactamase–ProducingEscherichia coliInfections in Patients with Pyelonephritis, United States1

Talan¹,

Takhar²,

Krishnadasan³

et al. 2016

Emerg. Infect. Dis.

109

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“…Adults presenting to the EMERGEncy ID NET, a network of 11 university-affiliated, urban US EDs with a total annual visit census of ∼900,000, were recruited [23]. Institutional review board approval was obtained at all sites.…”

Section: Participantsmentioning

confidence: 99%

Prevalence and Risk Factor Analysis of Trimethoprim‐Sulfamethoxazole– and Fluoroquinolone‐ResistantEscherichia coliInfection among Emergency Department Patients with Pyelonephritis

et al. 2008

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These results suggest that the prevalence of TMP-SMX-resistant infection among patients with uncomplicated pyelonephritis is > or =20% in many areas of the United States, and risk stratification cannot identify patients at low risk of infection. Rates of fluoroquinolone-resistant E. coli infection appear to be low among patients with uncomplicated pyelonephritis but higher among those with complicated infections. Fluoroquinolones should remain to be the preferred empirical treatment for women with uncomplicated pyelonephritis.

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“…19,24 Physicians also overprescribe antibiotics when they believe the patient expects them, 24,25 although their performance in predicting patients' expectations may be inaccurate. 24,25 In this study we again found that physicians performed poorly in identifying the patients who expected antibiotics.…”

Section: Discussionmentioning

confidence: 99%

“…19 All sites are located in urban areas and have a combined annual census of over 800,000 ED visits. Each site supports an emergency medicine residency training program and is closely affiliated with a medical school.…”

Section: Methodsmentioning

confidence: 99%

Antibiotic Prescribing Practices of Emergency Physicians and Patient Expectations for Uncomplicated Lacerations

Ong¹,

Moran²,

Krishnadasan³

et al. 2011

WestJEM

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IntroductionProphylactic antibiotics have not been found to have a benefit in the setting of uncomplicated lacerations. We evaluated the proportion of patients with uncomplicated lacerations who are prescribed prophylactic antibiotics in the emergency department (ED), factors that physicians considered when prescribing antibiotics, and factors associated with patient satisfaction.MethodsAdults and children presenting to 10 academic EDs with acute lacerations were enrolled. Enrolled patients were interviewed before and after their physician encounter in the ED and 2 weeks later. Physicians were interviewed in the ED after the patient encounter about factors that influenced their management decisions, including their perceptions of patients' expectations. We included patients with uncomplicated lacerations (without contamination, infection, bone, tendon, or joint involvement) for analysis.ResultsOf 436 patients enrolled, 260 had uncomplicated lacerations, and of these, 55 (21%) were treated with antibiotics in the ED or by prescription. Physicians were more likely to use antibiotics when the wound was more than 8 hours old, involved a puncture or amputation, and when the patient lacked medical insurance. A treatment course of 7 days or greater was given to 24 of 45 patients (53%) receiving outpatient prescriptions. Patient satisfaction was not associated with antibiotic use.ConclusionAntibiotics were used for about one fifth of ED patients with uncomplicated lacerations despite a lack of evidence for efficacy.

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EMERGEncy ID NET: An Emergency Department–Based Emerging Infections Sentinel Network

Cited by 66 publications

References 19 publications

Fluoroquinolone-Resistant and Extended-Spectrum β-Lactamase–ProducingEscherichia coliInfections in Patients with Pyelonephritis, United States1

Fluoroquinolone-Resistant and Extended-Spectrum β-Lactamase–ProducingEscherichia coliInfections in Patients with Pyelonephritis, United States1

Prevalence and Risk Factor Analysis of Trimethoprim‐Sulfamethoxazole– and Fluoroquinolone‐ResistantEscherichia coliInfection among Emergency Department Patients with Pyelonephritis

Antibiotic Prescribing Practices of Emergency Physicians and Patient Expectations for Uncomplicated Lacerations

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