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A urine culture is recommended in the following situations: suspected acute pyelonephritis; symptoms that do not resolve or recur within 4 wk after completion of treatment; women who present with atypical symptoms; and/or pregnant women.
As has been discussed, the limited treatment options for VRE and the high rate of mutagenicity with enterococcus supports the approach of attempting prevention and early treatment, even in the absence of symptoms.
26 lut 2014 · Chronic suppressive antibiotics for 6 to 12 months and vaginal estrogen therapy effectively reduce symptomatic UTI episodes and should be considered in patients with recurrent UTIs.
24 cze 2020 · Due to the high rate of ASB, urine culture in older people should be limited to patients with typical symptoms of UTI and patients unable to provide a history. Acute cystitis warrants treatment guided by urine culture results. Treatment of recurrent UTI warrants a detailed assessment of risk-factors to guide treatment.
Treatment of Enterococcus Enterococcus spp. can be a contaminant or colonizer, particularly in patients with urinary catheters or multiple organisms growing in urine culture. Patients should be treated only if symptomatic unless they meet criteria for treatment of asymptomatic bacteriuria. See asymptomatic bacteriuria section above. E. faecalis
Treatment of uncomplicated UTI in older adults without significant medical comorbidities follows the same algorithm used in younger patients. 42 For treatment of uncomplicated UTI in women, the International Clinical Practice Guidelines proposed by the European Society for Microbiology and Infectious Diseases and the IDSA recommend:
Yes. Do not perform urine dipsticks. Dipsticks become more unreliable with increasing age over 65 years. Up to half of older adults, and most with a urinary catheter, will have bacteria present...
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