Atypical symptoms in emergency department patients with urosepsis challenge current urinary tract infection management guidelines.

The article reports a secondary analysis of a data set of adult sepsis patients treated in the emergency department (ED) of an urban academic medical center from April 1, 2014 to March 31, 2016 if they meet the Infectious Disease Society of America (IDSA) guidelines for managing asymptomatic bacteriuria. Results revealed that 28% of patients with atypical symptoms did not meet IDSA symptom criteria for antibiotic treatment. It suggests that the guidelines may be to narrow in the ED setting.