PT  - JOURNAL ARTICLE
AU  - Glenn T. Werneburg
AU  - Daniel D. Rhoads
TI  - Diagnostic stewardship for urinary tract infection: A snapshot of the expert guidance
AID  - 10.3949/ccjm.89a.22008
DP  - 2022 Oct 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 581--587
VI  - 89
IP  - 10
4099  - http://www.ccjm.org/content/89/10/581.short
4100  - http://www.ccjm.org/content/89/10/581.full
SO  - Cleve Clin J Med2022 Oct 01; 89
AB  - The urine culture, the cornerstone for laboratory diagnosis of urinary tract infection (UTI), is associated with a high frequency of false-positive and false-negative results, and its diagnostic threshold is debated. Urine culture takes days to result, and antibiotics are often initiated while awaiting final culture readings. Further, asymptomatic bacteriuria—the presence of bacteria in urine in the absence of UTI symptoms—generally does not warrant treatment. The authors review current expert guidance on the use of urine culture, including approaches to ordering, processing, and reporting of urine cultures, with the goal of reducing unnecessary antibiotic use and misdiagnosis of UTI.