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Defining urinary tract infection by bacterial colony counts: a case for less than 100,000 colonies/mL as the threshold

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Many basic issues on making an accurate diagnosis of a urinary tract infection (UTI) are controversial still today. This might come as a surprise as UTIs are one of the… Click to show full abstract

Many basic issues on making an accurate diagnosis of a urinary tract infection (UTI) are controversial still today. This might come as a surprise as UTIs are one of the most common bacterial infections in childhood. I will here debate, with Dr. Coulthard, which number of bacteria colony-forming units per milliliter (CFU/mL) is required for a diagnosis of a UTI. My opinion is that a rigid number of ≥ 10 colony-forming units per milliliter (CFU/mL) risks missing 20% of true cases of UTI in small children [1].

Keywords: urinary tract; tract infection; colony; defining urinary

Journal Title: Pediatric Nephrology
Year Published: 2019

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