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Can a simple urinalysis predict the causative agent and the antibiotic sensitivities?

Authors
Type
Published Article
Journal
Pediatric Emergency Care
0749-5161
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Volume
30
Issue
4
Pages
244–247
Identifiers
DOI: 10.1097/PEC.0000000000000105
PMID: 24651215
Source
Medline
License
Unknown

Abstract

Urinalysis is not an accurate predictor of UTI. A positive urine culture in the presence of negative UA most likely grew non-E. coli organisms, whereas most UA(+) results were associated with E. coli. This study also highlighted local patterns of antibiotic resistance between E. coli and non-E. coli groups. Negative UA results in the presence of strong suspicion of a UTI suggest a non-E. coli organism, which may be best treated with trimethoprim-sulfamethoxazole. Conversely, UA(+) results suggest E. coli, which calls for treatment with cefazolin or cefuroxime.

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