April 26, 2024

Performance of Urinalysis Parameters in Predicting Urinary Tract Infection: Does One Size Fit all?

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Abstract

Abstract In a multihospital cohort study of 3392 patients, positive urinalysis parameters had poor positive predictive value for diagnosing urinary tract infection (UTI). Combined urinalysis parameters (pyuria or nitrite) performed better than pyuria alone for ruling out UTI. However, performance of all urinalysis parameters was poor in older women.

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Advani et al. (Fri,) studied this question.

synapsesocial.com/papers/68e6d587b6db643587652ae6 https://doi.org/https://doi.org/10.1093/cid/ciae230

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3International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases2011 · 3,008 citations
4Updates to Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline2022 · 57 citations
5Point-Counterpoint: Reflex Cultures Reduce Laboratory Workload and Improve Antimicrobial Stewardship in Patients Suspected of Having Urinary Tract Infections2015 · 62 citations

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