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Comment & Response
September 2016

Further Misanalysis of Urinalysis

Author Affiliations
  • 1Minneapolis Veterans Affairs Healthcare System, Minneapolis, Minnesota
JAMA Intern Med. 2016;176(9):1407. doi:10.1001/jamainternmed.2016.4503

To the Editor The Teachable Moment by Holroyd et al1 in a recent issue of JAMA Internal Medicine highlighted an important issue: the common practice of responding to an abnormal urine test with antimicrobial therapy despite the lack of symptoms referable to the urinary system. My enthusiasm for their work was slightly tempered when I reached the following statement: “Neither treatment of nor screening for asymptomatic pyuria or bacteriuria is recommended in nonpregnant adults, with the exception of persistent catheter-acquired bacteriuria or patients undergoing urologic procedures involving mucosal bleeding or transurethral prostate resection.”1(p432)

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