A comparison of care at e-visits and physician office visits for sinusitis and urinary tract infection.

ated with higher rates of SSI, diarrhea, and CDI, whereas bacteriuria, although associated with health care provider– diagnosed postoperative UTI, was not associated with SSI. Because these associations are derived from small samples in an observational study, they should be interpreted cautiously, recognizing the potential for confounding. Similarly, the finding that treating bacteriuria was associated with SSI may be confounded by factors that contributed to the decision to administer antimicrobial drugs. To our knowledge, this study provides the first systematic assessment of the frequency of preoperative UCs. Moreover, with nearly 2000 procedures, it is the largest study to assess outcomes associated with such testing. Our findings document that treatment of preoperative bacteriuria is associated with no benefit. These findings suggest that, outside the context of a randomized clinical trial, preoperative screening for and treatment of asymptomatic bacteriuria should be avoided in patients undergoing cardiovascular, orthopedic, or vascular surgery procedures.