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The urinary dipstick, although easy and convenient, has variable test characteristics. In a patient with a low pretest probability of UTI, if the dipstick is negative for leukocyte esterase Petrozavodsk man seeking lonely married women nitrites, it New york hoot pussy the presence of infection and mitigates the need to obtain urinalysis and urine culture Table 3.

High false-positive rates limit dipstick testing effectiveness.

In the outpatient setting, a clean-catch urine specimen should be collected by the patient. For female patients, the labia should be separated and the urethral area cleansed with an antiseptic soap solution wiping front to back before voiding.

The initial urinary flow should be allowed to drain into the toilet or bedpan, catching the midstream urine into a sterile container. If a clean-catch urine specimen is challenging for a patient to obtain eg, obesity, arthritisa simple voided specimen, although less ideal, can be used.

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Because of the high prevalence of asymptomatic bacteriuria among elderly women, the pretest probability for positive urinalysis or urine culture tests is high. Sex partners in caliente nevada exacerbation of multiple comorbidities can lead to urinary symptoms eg, urgency, frequency, and dysuria.

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