Publication Name	World Journal of Psychiatry
Manuscript ID	114529
Country	United States

Category	Psychiatry
Manuscript Type	Opinion Review
Article Title	Prescribing antibiotics to acutely ill psychiatric patients with urine analysis indicative of infection
Manuscript Source	Invited Manuscript
All Author List	Michael Huang and Alfredo Bellon
Funding Agency and Grant Number
Corresponding Author	Alfredo Bellon, Associate Professor, MD, PhD, Department of Psychiatry and Behavioral Health, Penn State Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States. abellon@pennstatehealth.psu.edu
Key Words	Urinary tract infection; Psychosis; Mania; Urine analysis; Antibiotics; Infection; Asymptomatic bacteriuria
Core Tip	Acutely ill psychiatric patients often cannot or are unwilling to report urinary tract infection (UTI) symptoms. This complicates current guidelines that largely discourage treating asymptomatic bacteriuria. Emerging evidence suggests a higher prevalence of UTIs during acute psychosis or mania, raising concerns that untreated infections may be causing or exacerbating psychiatric symptoms. Given the potential impact of untreated UTIs for patients with acute psychiatric disorders, we believe that asymptomatic bacteriuria should be treated in this patient population.
Citation	Huang M, Bellon A. Prescribing antibiotics to acutely Ill psychiatric patients with urine analysis indicative of infection. World J Psychiatry 2025; In press

Received	2025-09-22 02:03
Peer-Review Started	2025-09-22 02:03
First Decision by Editorial Office Director	2025-09-29 06:47
Return for Revision	2025-09-29 06:47
Revised	2025-10-21 22:18
Publication Fee Transferred
Second Decision by Editor	2025-12-08 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-08 04:14
Articles in Press	2025-12-08 04:14
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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