Subtle Clues that Change Management of Urinary Tract Infections in Women - Study Findings Q&A CaseTry this free Management of UTIs in Women Case Q&A courtesy of Med-Challenger.
In January 2022, an interesting study was published that discussed the importance of a subtle yet management-altering urinalysis finding in women with a simple urinary tract infection. What is this finding and how does it affect management of UTIs in women?
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Try this case and test your knowledge of this subtle yet management-altering finding in women with a simple urinary tract infection.
A 48-year-old woman presents with a complaint of dysuria, frequent urination, urgency, and foul-smelling urine for the last 3 days.
She denies fever, chills, flank pain, or gross hematuria.
She has had a hysterectomy for dysplasia, and has no other medical history.
Her clean catch urine shows:
- specific gravity 1.030
- urine pH 8.5
- bacteria 3+
- blood 1+
- glucose negative
- ketones trace
- leukocyte esterase 3+
- nitrite positive
- protein 2+
Microscopy shows many bacteria, <5 squamous epithelial cells/high- power field (HPF); > 2 RBC/HPF RBCs; > 10 WBC/HPF WBC, urobilinogen 1.5 mg/dL, no budding yeast.
Which clue or combination of clues predicts resistance to one of the first line antibiotics recommended by national guidelines for this patient’s urinary tract problem?
See the Answer:
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