Clinical presentation and performance of urine dipstick for diagnosis of urinary infection in geriatric population.

[Clinical presentation and performance of urine dipstick for diagnosis of urinary infection in geriatric population]. Rev Med Interne. 2019 Jul 10;: Authors: Coudert M, Pépin M, de Thezy A, Fercot E, Laycuras M, Coudert AL, Duran C, Bouchand F, Davido B, Le Crane M, Denis B, Muller F, Gourdon M, Peng CL, Mahamdia R, Mekerta Z, Seridi Z, Gaillard JL, Leichowski L, Moulias S, Rottman M, Sivadon-Tardy V, Teillet L, Dinh A Abstract BACKGROUND: Urinary tract infections (UTI) are the second cause of community-acquired bacterial infections in the elderly. Distinguishing symptomatic UTI from asymptomatic bacteriuria is problematic, as older adults are less likely to present with localized urinary symptoms. We evaluated characteristics of patients presenting UTI among elderly with sepsis. Moreover, we aimed to evaluate the sensibility and specificity of urine dipstick tests in the diagnosis of UTI in geriatric population. PATIENTS AND METHOD: We led a prospective, monocentric, observational study between April 2017 and January 2018. We included patients hospitalized in geriatric wards, who were prescribed urine culture for UTI symptoms or/and infection without primary sites for which a urine culture was prescribed. Dipstick urinalyses were performed for all patients. Clinical and biological characteristics of all patients were compared according to the final diagnosis of UTI. Moreover, results of dipstick tests were evaluated for the diagnosis of U...
Source: Revue de Medecine Interne - Category: Internal Medicine Tags: Rev Med Interne Source Type: research

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Authors: Bozok T, Kayar B, Yakıcı G, Eker E, Marzi M, Karslı F, Köksal F Abstract Tuberculosis (TB) is a chronic, granulomatous and necrotizing disease caused by microorganisms belonging to the Mycobacterium tuberculosis complex group. In 2017, 6.4 million new TB cases have been reported according to the World Health Organization 2018 Global Tuberculosis Report. TB remains among the major health problems of our time due to the increasing drug resistance problem and the difficulties in definitive diagnosis in recent years. It is stated by clinicians that intensive use of quinolone group drugs with oral form ...
Source: Mikrobiyoloji Bulteni - Category: Microbiology Tags: Mikrobiyol Bul Source Type: research
This study was conducted on 151 patients who attended the gynecology clinic during the study period. Nineteen UTI proven cases of UTI were studied for prevalence of microorganism and sensitivity pattern against different antibiot...
Source: African Journal of Microbiology Research - Category: Microbiology Source Type: research
English cohort study (n=300,354 with 494,675 UTIs) found guidelines for investigation (IN) of UTI are not being followed, and use of microbiological INs currently has little impact on prescribing. Re-prescribing of same antibiotic given for initial episode happened in 25% of UTIs
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news
CONCLUSION: This pre-hospitalization unit associated with a centralized bed management system has clearly improved the unscheduled hospital admissions, in particular concerning the emergency medical sector. The lack of inpatient beds at the week-end and the management of epidemic periods still remain a challenge that has to be taken up. PMID: 31409518 [PubMed - as supplied by publisher]
Source: Revue de Medecine Interne - Category: Internal Medicine Tags: Rev Med Interne Source Type: research
AbstractWhile the clinical characteristics and treatment outcomes ofEnterococcus faecalis andE. faecium bacteremia are well known, those ofE. durans bacteremia are still largely unclear. We retrospectively identified 80 adultE. durans bacteremia cases treated at our 2700-bed tertiary care hospital between January 1997 and December 2016. We compared the clinical characteristics and treatment outcomes of the adult patients withE. durans bacteremia (case group) with those ofE. faecalis andE. faecium bacteremia cases (two control groups). The case and control groups were matched for sex, age, and date of onset of bacteremia.E....
Source: European Journal of Clinical Microbiology and Infectious Diseases - Category: Microbiology Source Type: research
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Source: European Journal of Clinical Microbiology and Infectious Diseases - Category: Microbiology Source Type: research
Contributors : Katherine Xu ; Tian H Shen ; Atlas Khan ; Nicholas Tatonetti ; Krzysztof Kiryluk ; Jonathan BaraschSeries Type : Expression profiling by high throughput sequencingOrganism : Mus musculusThe kidney and bladder expresses a variety of powerful defense mechanisms to limit urinary infection including iron scavenging, a process called "nutritional immunity". We previously demonstrated that bladder and kidney epithelia generates the archetype of the urinary iron defense, a lipocalin called NGAL which binds Enterochelin, a bacterial siderophore. However, because urinary bacteria can evade the bacteriostati...
Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Expression profiling by high throughput sequencing Mus musculus Source Type: research
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Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
Conclusions: Ceftazidime–avibactam was well tolerated in children with cUTI, with a safety profile consistent with that of adults with cUTI and of ceftazidime alone, and appeared effective in children with cUTI due to Gram-negative pathogens.
Source: The Pediatric Infectious Disease Journal - Category: Infectious Diseases Tags: Antimicrobial Reports Source Type: research
Recently reported in this journal was that certain accepted signs and symptoms of a urinary tract infection (UTI) have limited value1. This should influence how to define a symptomatic UTI when consensus opinion recommends a urinary catheterization procedure in elderly febrile patients if they cannot provide a urine specimen2, 3. However, although there can be clinical utility of urine cultures to direct appropriate antibiotic therapy, the decision to catheterize should consider the risk of an indwelling urine catheter during hospitalization and at discharge4, 5.
Source: Journal of Infection - Category: Infectious Diseases Authors: Source Type: research
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