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Urology • General Internal Medicine • Infectious Disease • Hospital Medicine • Primary Care • General Primary Care • General Hospital Medicine
How do you evaluate for an ascending UTI in a patient with a urostomy?
Do you still find urinalysis helpful in this situation, or do you rely on more specific culture data, imaging studies, etc.?
Answer from: at Academic Institution
Evaluating for ascending UTI in a patient with a urostomy
UA
Generally low value; chronic pyuria/mucus makes results unreliable.
Urine culture
Essential; must be collected from a clean stoma catheterization or a fresh pouch, and not from the urostomy bag.
Imaging...
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