36. Urinalysis paralysis

ID:IOTS - Infectious Disease Insight Of Two Specialists

Join Jame and Callum as they take a deep dive into urinalysis, a commonly (mis)used test for UTI (and other conditions). This test put you into murky waters when used clinically and we hope to give some information to avoid being a pisse prophet.
Some sources referred to in this episode:
NICE Clinical knowledge summary
SMI 41: Investigation of urine
Summary article of PPV and NPV for urinalysis:
- Diagnosis and treatment of urinary tract infections across age groups, AJOG, 2018
Performance of LE and Nitrite at differing levels of bacteruria:
- Evaluation of Leukocyte Esterase and Nitrite urine dipstick, J Clin microbiol, 1999
Review of urinalysis diagnostic utility by presenting symptoms:
- Does this woman have an acute uncomplicated urinary tract infection? JAMA 2002

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