BACKGROUND AND OBJECTIVE: The @entity1 with @entity2259 usually require hospital admission. In occasions they are remitted to their home, due to inappropriate diagnosis or rapid clinical improvement. The study describes the evolution and the interventions carried out in @entity1 with @entity2259 that were remitted to their home. @entity1 AND METHOD: Prospective observational study carried out in a university hospital, of 450 beds, from March of 2000 until December of 2003. The hospital has a team that daily evaluated all blood cultures practiced; the @entity1 with @entity2259 remitted to home from the Emergency Department with inappropriate antibiotic were identified. RESULTS: During the period of study 1,172 episodes of true @entity2259 were diagnosed, of these 247 (21.1%) were remitted to their home. In 50 cases (20.2%) it was considered necessary to contact with the @entity1 : 36 for inappropriate empiric antibiotic treatment, 12 without antibiotic treatment and 2 for lack of information. Antibiotic treatment was initiated or modified in 34 cases, and 10 required hospital admission. Excluding the 66 @entity1 who died in the first 48 h, the crude mortality of the @entity1 remitted to home was inferior (4%) to that of the @entity1 that required hospital admission (11.9%). CONCLUSIONS: One fifth of @entity2259 were ambulatory treated, frequently the antibiotic treatment was inappropriate, it is necessary to guarantee an appropriate control of this population.

[Community XXXX ambulatory treated or identified after discharge from the emergency department].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity2259 :: ('MESH:D016470', 'Disease') :: ['bacteremia', 'community bacteremia']
@entity2259 :: (MESH:D016470,Disease) :: ['bacteremia']
