Sunday Scaries

What’s the Deal with UTIs – Sunday Scary

Urinary Tract Infection The Case: 60-something year old male presents to the ED with signs of urinary frequency and feelings of incomplete voiding. When you see the UA results there are moderate nitrites, moderate leukocyte esterases but NO urine bacteria. Your attending turns to you and says "Why did you order rocephin for sterile pyuria, there are no bacteria", and you turn to your attending to say "because I should have finished this Sunday scary weeks ago. i loathe weird UAs" The UTI Breakdown Upper and Lower Urinary Tract Upper = Kidneys and Ureter (P