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Medicina & Laboratorio

2013, Number 05-06

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Medicina & Laboratorio 2013; 19 (05-06)

Urine culture: an unavoidable test for specific diagnosis of urinary tract infection and rational use of antibiotics

López VJA, Campuzano MG

Language: Spanish
References: 147
Page: 211-242
PDF size: 1558.40 Kb.


ABSTRACT

Urinary tract infections are the third most common infection among humans and the second cause for antibiotic prescription. Urine cultures are the most commonly requested type of culture to microbiology laboratories and this test remains as the gold standard for diagnosis. This article reviews aspects such as etiology of the infection and issues related with empiric antimicrobial utilization to treat community acquired urinary tract infections. In addition, basic laboratory tests that support the diagnosis of urinary tract infections are reviewed. The article will also describe aspects related to urine culture, from the moment this test is indicated until the final report and interpretation of results are issued by the laboratory, in order to promote rational use of antibiotics. The proposed approach will not only help to reduce collateral effects of antibiotic use, it may also improve the cost-benefit of the diagnosis-treatment process, and the most importantly, it may help in the recovery of the patient’s health.


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