How do you differentiate between asymptomatic bacteriuria and a true urinary tract infection in a neuro-urology patient?

The short and only real answer is clinical judgment. There is no laboratory testing that can differentiate between bacteriuria (which can be protective) and true urinary tract infection. While some very limited studies have examined the use of inflammatory biomarkers in improving UTI diagnosis in th...

This can be a challenging distinction, especially in those patients that have no sensation of bladder filling. For those patients that void or perform clean intermittent catheterization (CIC), strong indicators that this is a true urinary tract infection (UTI) that would benefit from antibiotic ther...