Category Urinary tract infections

Testing urine from a patient with a urinary catheter – CEC protocol under piloting in NSW

Urines are frequently collected from minimally symptomatic patients.  Detection of bacteriuria and reporting of antibiotic susceptibility is a  frequent prompt for unnecessary antibiotic treatment, especially in residential aged care settings. This new protocol codifies best practice recommendations for collection of urine cultures. It is being trialed at Belmont Hospital in Hunter New England. Clinical Excellence […]

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: