{"id":1701,"date":"2017-08-07T07:32:51","date_gmt":"2017-08-07T07:32:51","guid":{"rendered":"http:\/\/papergp.com\/index.php\/data-interpretation\/urine-culture\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"urine-culture","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/data-interpretation\/urine\/urine-culture\/","title":{"rendered":"Urine culture"},"content":{"rendered":"<div class=\"content-box-blue\"><strong>Organism growth<\/strong><\/p>\n<ul>\n<li>Usually indicates UTI in patient with urinary symptoms (higher counts have an even higher predictive value)\n<ul>\n<li>&gt; 10<sup>3<\/sup> CFU\/mL &#8211; E.coli or S.saprophyticus<\/li>\n<li>&gt; 10<sup>4<\/sup> CFU\/mL &#8211; single organism<\/li>\n<li>&gt; 10<sup>5<\/sup> CFU\/mL &#8211; mixed growth with one predominant organism<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>White blood cells<\/strong><\/p>\n<ul>\n<li>&gt;104\/mL represent inflammation<\/li>\n<li>no white cells present indicates no inflammation and reduces culture significance<\/li>\n<li>sterile pyuria\n<ul>\n<li>consider Chlamydia, other vaginal infections, non culturable organisms (e.g. TB), renal pathology<\/li>\n<li>pregnancy is associated with physiological pyuria<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Epithelial cells<\/strong><\/p>\n<ul>\n<li>Indicates perineal contamination which reduces significance of a culture<\/li>\n<\/ul>\n<p><strong>Red cells<\/strong><\/p>\n<ul>\n<li>May be present in UTI<\/li>\n<li>Persistent haematuria requires referral<\/li>\n<li>Lab microscopy is less accurate than dipstick due to red cell lysis in transport<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\"><strong>Urine culture in &gt; 65 \u00a0years old<\/strong><\/p>\n<ul>\n<li>Do not treat asymptomatic bacteriuria in the elderly as it is common and does not reduce mortality or prevent symptomatic episodes<\/li>\n<\/ul>\n<p><strong>Urine culture in patients with indwelling catheters<\/strong><\/p>\n<ul>\n<li>Do not treat asymptomatic bacteriuria in these patients<\/li>\n<li>If signs of infection\n<ul>\n<li>exclude other sources<\/li>\n<li>check catheter is draining correctly and is not blocked<\/li>\n<li>If catheter in place for more than 7 days, consider changing it before\/when starting antibiotic treatment<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Organism growth Usually indicates UTI in patient with urinary symptoms (higher counts have an even higher predictive value) &gt; 103 CFU\/mL &#8211; E.coli or S.saprophyticus &gt; 104 CFU\/mL &#8211; single organism &gt; 105 CFU\/mL &#8211; mixed growth with one predominant organism White blood cells &gt;104\/mL represent inflammation no white cells present indicates no inflammation and &hellip; <a href=\"https:\/\/papergp.com\/index.php\/data-interpretation\/urine\/urine-culture\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Urine culture<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2362,"menu_order":39,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1701","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1701","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1701"}],"version-history":[{"count":2,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1701\/revisions"}],"predecessor-version":[{"id":1704,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1701\/revisions\/1704"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2362"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}