{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Episode 995: UTI Diagnosis","description":"Contributor: Travis Barlock, MD Educational Pearls:&amp;nbsp;  Foul-smelling urine and cloudy urine are commonly misinterpreted as indicators of a UTI.&amp;nbsp;However, these findings alone are not diagnostic. Criteria for UTI:  Presence of localized urinary symptoms: Suprapubic pain Dysuria Hesitancy Urgency Urinalysis with WBC &amp;gt; 10 Urine culture with &amp;gt; 100,000 CFU\/mL   Colonization differs from infection - many patients harbor asymptomatic bacteria but do not have a true infection. Consequences of overtreatment  One review showed 45% of patients treated with antibiotics for a presumed UTI actually had asymptomatic bacteriuria and were incorrectly treated. Unnecessary antibiotic treatment can have deleterious effects on the gut microbiome, increasing the risk of multidrug-resistant infections. Another problem with overdiagnosing UTI is missing the real diagnosis by explaining symptoms away as \u201cjust a UTI.\u201d   Be mindful of the risk of overtesting versus not testing at all.  Clinicians must navigate a balance between moving patients efficiently through the ER and testing appropriately when a UTI is truly suspected.    References:  Baghdadi JD, Korenstein D, Pineles L, et al. Exploration of primary care clinician attitudes and cognitive characteristics associated with prescribing antibiotics for asymptomatic bacteriuria. JAMA Netw Open. 2022;5(5):e2214268. doi:10.1001\/jamanetworkopen.2022.14268 Colgan R, Williams M. Acute uncomplicated urinary tract infections in adults. Am Fam Physician. 2024;109(2):167-174. Accessed February 21, 2026. https:\/\/www.aafp.org\/pubs\/afp\/issues\/2024\/0200\/acute-uncomplicated-utis-adults.html#afp20240200p167-ta1  Summarized by Ashley Lyons OMS3 | Edited by Ashley Lyons &amp;amp; Jorge Chalit OMS4 Donate: https:\/\/emergencymedicalminute.org\/donate\/ Join our mailing list: http:\/\/eepurl.com\/c9ouHf ","author_name":"Emergency Medical Minute","author_url":"https:\/\/www.emergencymedicalminute.com","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/40217020\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/fa102a\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/item\/40217020"}