ID:IOTS - Infectious Disease Insight Of Two Specialists 36. Urinalysis paralysis
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Dec 12, 2022 In this episode, the hosts delve into the complexities of urinalysis for UTI diagnosis, discussing the challenges of interpreting test results and the implications of reducing unnecessary tests in healthcare. They highlight the reflex nature of urine analysis, caution against overtreatment of asymptomatic patients, and emphasize the importance of accurate interpretation for optimal patient outcomes.
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Urinalysis in Catheterized Patients
- Never base decisions on urinalysis for catheterized urine.
- Leukocyte esterase and nitrates will likely be positive due to the catheter itself, not infection.
Treating Asymptomatic Bacteriuria
- Callum and James discuss a case where a patient received antibiotics for a Klebsiella UTI despite being asymptomatic.
- The case highlights the tendency to treat positive cultures even without clinical indication.
Urinalysis in Men
- Don't rely on urinalysis to confirm UTI in men with mild or nonspecific symptoms.
- If symptoms are present, obtain a urine culture regardless of urinalysis results.