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Post antibiotic urinalysis

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  • #77992
    Nicole Maguire
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    Nicole Maguire

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    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

    [cid:PhoneIcon_b6b00ff7-46ac-4c9b-9fac-999360b08a03.png] 07 5455 1111

    [cid:MailIcon_fa9171d6-3b86-4ac5-96f3-d54b58775fec.png] Nicole.Maguire@sundale.org.au
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    #77993
    Anonymous
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    Anonymous

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    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 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
    >
    > [image: Sundale Logo]
    >
    > [image: Sundale Logo Wave]
    >
    >
    > IMPORTANT NOTICE This email (and any attachments) is intended only for use
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    #77994
    Anonymous
    Inactive

    Author:
    Anonymous

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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

    [Sundale Logo Wave]

    IMPORTANT NOTICE This email (and any attachments) is intended only for use by the addressee/s and may contain information which is confidential and/or the subject of legal privilege. If you are not the intended recipient of this communication, any disclosure, distribution or use of the information is prohibited and may be unlawful. Please delete and destroy all copies and contact the sender immediately. Any views expressed in this communication are those of the individual sender, except unless otherwise specifically stated. Except as required at law, we do not represent, warrant and/or guarantee that the integrity of this communication has been maintained nor that the communication is free of errors, viruses, interception or interference.

    ABN 33 436 160 489 | ACN 164 270 946

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