treating bacteria in urine

[obiwan]

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i've had several patients with various organisms in urine and it seems like my attendings are going against what i think are the general guidelines for treating asymptomatic bacturia including neutropenic patients etc etc

just wondering what your experiences are in terms of treating said patients... and also i keep hearing that VRE doesn't cause pyelonephritis... is this true cause i'm not finding much to support that statement from said attendings...thanks

 

[NPEMTIV]

i've had several patients with various organisms in urine and it seems like my attendings are going against what i think are the general guidelines for treating asymptomatic bacturia including neutropenic patients etc etc

just wondering what your experiences are in terms of treating said patients... and also i keep hearing that VRE doesn't cause pyelonephritis... is this true cause i'm not finding much to support that statement from said attendings...thanks

Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults.

 

[TMP-SMX]

i've had several patients with various organisms in urine and it seems like my attendings are going against what i think are the general guidelines for treating asymptomatic bacturia including neutropenic patients etc etc

just wondering what your experiences are in terms of treating said patients... and also i keep hearing that VRE doesn't cause pyelonephritis... is this true cause i'm not finding much to support that statement from said attendings...thanks

VRE can cause pyelo if the patient has a cath in.