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Hi Nicole
Aligned with Sarahs response, the National Centre for Antimicrobial Stewardship notes
Dipstick urinalysis is not recommended as a routine screening tool in asymptomatic people or post antibiotic therapy. Up to half of older adults will have bacteria present in the bladder/urine without an infection. This asymptomatic bacteriuria is not harmful, although it will cause a positive urine dipstick. Most people with a urinary catheter will have bacteria and /or leucocytes in their urine, but if they dont have symptoms this doesnt require antibiotic therapy.
Kind regards
Noleen
Associate Professor Noleen Bennett
Infection Control Consultant
1.VICNISS Coordinating Centre/ National Centre for Antimicrobial Stewardship
Peter Doherty Institute for Infections and Immunity
792 Elizabeth St Melbourne VIC 3000 T: + 61 3 93429333
2. Department of Nursing, Melbourne School of Health Sciences
The University of Melbourne
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Sarah Lynar
Sent: Monday, 17 May 2021 6:34 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Post antibiotic urinalysis [WARNING: Failed Authentication]
Hi Nicole,
No, not in Australia. The current antibiotic therapeutic guidelines says:
Do not perform post-treatment urine culture to confirm resolution of infection for asymptomatic nonpregnant women
And for men:
Do not perform post-treatment urine culture to confirm resolution of infection for asymptomatic men with acute cystitis
Im not sure if thats helpful – apologies if you were already aware of this guidance.
Kind regards,
Sarah Lynar
Infectious Diseases Specialist
Royal Darwin and Palmerston Hospitals
17 May 2021 at 4:48 pm, Nicole Maguire <0000003a8ec9ba1d-dmarc-request@aicalist.org.au> wrote:
Hi all,
Is it currently best practice to complete a urinalysis post antibiotic therapy for a diagnosed UTI?
Kind regards
Nicole
Nicole Maguire
Acting Site Manager
07 5455 1111
Nicole.Maguire@sundale.org.au
4 Wembley Rd Coolum QLD 4560
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