E-Posters-10136

10136_Rolston

Pdf Summary

A study conducted at a single institution aimed to determine the rate and predictors of positive urine culture among women referred to a urogynecology clinic. The retrospective chart review included all new urogynecology clinic visits between June 2015 and July 2016. Patient characteristics, including age, parity, symptoms, diabetes mellitus, prior hysterectomy, tobacco use, prolapse stage, and urinalysis and urine culture results, were recorded.<br /><br />The results showed that approximately 20.4% of women referred to the urogynecology clinic had positive urine cultures. The most common uropathogens found were Escherichia coli, Group B Streptococcus, and Streptococcus viridans. About 57.5% of women with a positive urine culture were treated.<br /><br />The only significant risk factor for a positive urine culture identified in this patient population was diabetes mellitus. Approximately 45% of women with diabetes mellitus had a positive urine culture, compared to 27.5% of women without diabetes mellitus.<br /><br />The study suggests that urine culture should be considered in the evaluation of women with lower urinary tract symptoms prior to urogynecology clinic referral, especially in women with diabetes mellitus and positive urine dipstick results for large leukocyte esterase or positive nitrites.<br /><br />In summary, approximately 20.4% of women referred to a urogynecology clinic had positive urine cultures. Diabetes mellitus was identified as a significant risk factor for a positive urine culture. The study highlights the importance of considering urine culture in the evaluation of women with lower urinary tract symptoms, particularly in those with diabetes mellitus.

Keywords

urogynecology clinic

positive urine culture

women

diabetes mellitus

retrospective chart review

urogenital symptoms

uropathogens

treatment

risk factors

lower urinary tract symptoms