Course Access
As a Microbiologist, I miss comments about the results of the urine
analyses during the acute episode. If the infecting organism is
susceptible to the prescribed antibiotic, there is an expectation the
treatment is successful, especially if the patient is asymptomatic
post-treatment. Hence no further analyses are required. I always felt that
it was unreasonable not to check that the correct antibiotic had been
prescribed. The comments have not touched on the difference in recurrent
episodes, age and other possible complicating factors.
Mona Schousboe
FRCPA (Microbiology), MPH, New Zealand
Retired
On Tue, May 18, 2021 at 3:01 PM Bennett, Noleen
wrote:
> 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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