Clinical Correlations

The NYU Langone Health Online Journal of Medicine


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To Treat or Not to Treat: Rethinking the Positive Urine Culture

Class Act ID Urology 4 min read

By Bennett Yang

Peer Reviewed

An 84-year-old woman presents to the emergency department with fatigue and mild confusion. Her vitals are stable, she’s afebrile, and her exam is unremarkable. Labs are mostly normal, but the urinalysis shows moderate leukocyte esterase and bacteria. A urine culture is sent, and a broad-spectrum antibiotic is …

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