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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.?
1 Answer
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Hospital Medicine · Emory University Hospital
Answered on
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 (CT abdomen and pelvis wit...

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