Category Urinary tract infections
An everyday tragedy: treating asymptomatic bacteruria with antibiotics
Act 1 of a common tragedy that sets the scene for antibiotic resistance – an elderly female resident of a nursing home complains of minor dysuria or perhaps just has urine that appears cloudy or smelly. The nurse collects some urine and performs a urinalysis that shows presence of white cells and nitrite. The urine is sent […]
Avoiding unnecessary urine cultures and treatment
Urine samples are often submitted seemingly without a clear clinical justification. As bacteriuria is a common finding in the elderly, diabetic patients and patients with longterm indwelling or suprapubic catheters, a lab report with a positive culture might then prompt unnecessary antibiotic treatment. The following guide might assist: