INTERPRETING URINALYSIS AND URINE CULTURE RESULTS Philip Sloane, MD, MPH Professor of Family Medicine and Geriatrics UNC School of Medicine SHOW COLONIZATION VS INFECTION VIDEO HERE Interpreting a Urinalysis DIPSTICK Helps identify if patient is hydrated / dehydrated Marker for common bacterial pathogens * Marker for white blood cells in the urine MICROSCOPIC ANALYSIS White blood cells Red blood cells * E Coli, Klebsiella and Proteus produce nitrite from nitrate. Pseudomonas, enterococci and coagulase negative staphylococci do not. Sample Urinalysis #1 Sample Urinalysis #2 Sample Urinalysis #3 Sample Urinalysis #4 Interpreting a Urine Culture – 1 [No Growth] Interpreting a Urine Culture – 2 [Preliminary Report] Interpreting a Urine Culture – 3 [Final Report of Patient in Slide 2] Interpreting a Urine Culture - 4 Interpreting a Urine Culture - 5 Interpreting a Urine Culture - 6 Interpreting a Urine Culture - 7 Interpreting a Urine Culture - 8 Interpreting a Urine Culture - 9