Antibiotic Overtreatment of Presumed Urinary Tract Infection Among Children with Spina Bifida

To identify factors associated with overtreatment of presumed urinary tract infection (UTI) among children with spina bifida using such criteria. A retrospective review of children with spina bifida (age 100k CFU/mL). The primary exposure was whether the components of the criteria available at the time of the ED visit (≥2 urologic symptoms plus pyuria) were met when antibiotics were initiated. Among 236 ED encounters, overtreatment occurred in 80% of cases in which antibiotics were initiated (47% of the entire cohort). Pyuria with