Top Ten Myths Regarding the Diagnosis and Treatment of Urinary Tract Infections
Autor: | Jeffrey Pothof, Lucas T Schulz, Robert J. Hoffman, Barry C. Fox |
---|---|
Rok vydání: | 2016 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Urinalysis Urinary system 030106 microbiology MEDLINE urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Antibiotic use Intensive care medicine Asymptomatic bacteriuria medicine.diagnostic_test business.industry Bacterial Infections Emergency department bacterial infections and mycoses female genital diseases and pregnancy complications Pyuria Odorants Urinary Tract Infections Ambulatory Emergency Medicine Perception medicine.symptom Emergency Service Hospital business |
Zdroj: | The Journal of Emergency Medicine. 51:25-30 |
ISSN: | 0736-4679 |
Popis: | Background Urinary tract infections (UTI) are the most common type of infection in the United States. A Centers for Disease Control and Prevention report in March 2014 regarding antibiotic use in hospitals reported “UTI” treatment was avoidable at least 39% of the time. The accurate diagnosis and treatment of UTI plays an important role in cost-effective medical care and appropriate antimicrobial utilization. Objective We summarize the most common misperceptions of UTI that result in extraneous testing and excessive antimicrobial treatment. We present 10 myths associated with the diagnosis and treatment of UTI and succinctly review the literature pertaining to each myth. We explore the myths associated with pyuria, asymptomatic bacteriuria, candiduria, and the elderly and catheterized patients. We attempt to give guidance for clinicians facing these clinical scenarios. Discussion From our ambulatory, emergency department, and hospital experiences, patients often have urine cultures ordered without an appropriate indication, or receive unnecessary antibiotic therapy due to over-interpretation of the urinalysis. Conclusions Asymptomatic bacteriuria is common in all age groups and is frequently over-treated. A UTI diagnosis should be based on a combination of clinical symptoms with supportive laboratory information. This review will assist providers in navigating common pitfalls in the diagnosis of UTI. |
Databáze: | OpenAIRE |
Externí odkaz: |