Katrinal Piggott News Today : Breaking News, Live Updates & Top Stories | Vimarsana

We thank Zhang for comments regarding our article.1 Urinary tract infections are overdiagnosed among older adults and judicious antimicrobial use to prevent patient harms and antimicrobial resistance is needed.2 We would, however, caution against the idea that the negative predictive value (NPV) of a urine dipstick justifies its widespread use among older adults. Firstly, published performance characteristics are based on urine culture cutoffs of >105. …

### What you need to know An older woman with moderate stage dementia living in a long term care home has new confusion and slurred speech. Her nurse notes an “unusual smell” while collecting a urine specimen and sends it for culture testing to the microbiology laboratory. The care home physician is notified that afternoon of the clinical finding and performs a focused examination, which is unremarkable, and then signs off the urine culture order. The urine culture returns with significant growth of Escherichia coli and the woman is prescribed a course of antibiotics. Five days later, she ...