Order bacteriuria and urinary tract infection

Order bacteriuria and urinary tract infection
Bacteriuria is defined as bacteria in the urine in a patient who is asymptomatic, whereas symptomatic bacteria in the urine is termed urinary tract infection.
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Description
Bacteriuria vs Urinary Tract Infection
Order bacteriuria and urinary tract infection
Bacteriuria is defined as bacteria in the urine in a patient who is asymptomatic, whereas symptomatic bacteria in the urine is termed urinary tract infection. Bacteriuria is not usually treated unless the patient is pregnant, immunocompromised or scheduled to undergo a genitourinary procedure, whereas urinary tract infections are treated with antibiotics.
History
Additional history that would be beneficial for the assessment would include last pelvic exam, and any history of change in color, consistency or volume of vaginal secretions. Medications that the patient is currently taking to assess if any of the medications are immunosuppressive medications in addition to the patient history of menstruation, menstrual frequency or menopause, “Postmenopausal women may be at higher risk for colonization due to a loss of an acidic vaginal pH.” (Crader, M. F. 2020). Past medical history of renal calculi as they can colonize with bacteria, history of frequency of daily urination to assess and history of tobacco use to assess for bladder cancer risk and process used for urine sample to verify clean catch. Additionally personal hygiene habits such as use and frequency of use of feminine napkins, use of feminine hygiene products such as douche that can change the pH of the vagina and inquiry about personal practices of use of sexual lubricants and https://iacademicessay.com/ urination after intercourse.
Diagnostic Studies
Order bacteriuria and urinary tract infection
Verifying that the urine specimen has an order for culture would be the first diagnostic study; a culture of the bacteria detected will help guide potential treatment options, additional tests to add on to the urine sample would be urine cytology to screen for bladder cancer if there is a strong history of tobacco use. Vaginal exam with vaginal and urethral smears and culture given the reports of recent marriage and thus new sexual partner to test for STDs. Ultrasound can be useful to assess for abscess or suspected renal calculi in the bladder or urethra.
References
Crader, M. F. (2020, November 19). Bacteruria – StatPearls – NCBI Bookshelf. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK482276/
Merck Manuals. (2020c). Bacterial Urinary Tract Infections. Merck Manuals Professional Edition. https://www.merckmanuals.com/professional/genitourinary-disorders/urinary-tract-infections-utis/bacterial-urinary-tract-infections?query=Asymptomatic Bacteriuria
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