The clinical characteristics and outcomes of patients with positive and negative urine cultures who presented to Emergency Department, A Tertiary Care Center, Jeddah: A retrospective chart review study
Abstract
Abstract Background Urine cultures are widely used in emergency departments as a diagnostic tool for urinary tract infections. However, culture contaminations and unnecessary ordering increase costs, antibiotic misuse, and the development of resistance. The study is a retrospective chart review design that aims to compare contaminated and non-contaminated urine cultures and the effect on the outcomes among patients presenting to the Emergency Department at King Abdulaziz Medical City (KAMC) in Jeddah, between February 2023 and February 2024. Methods The study population included adult patients (≥ 18 years) who had the results of the urine cultures, and excluded patients with incomplete medical records, pediatric patients, and those who were discharged against medical advice. The data collection process was completed over a two-month duration. It was obtained using the BestCare information system and was assembled into a spreadsheet. The variables included demographic characteristics, such as age and gender. Other variables, like symptoms and comorbidities, are provided in the variables sheet. Comparisons between both groups were made using appropriate statistical tests, with a p-value
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