0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Explanation for False-positive Urine Cultures Obtained by Bag Technique-Reply

Theresa A. Schlager, MD; J. Owen Hendley, MD; Jacob A. Lohr, MD; Sharon M. Dudley, MT(ASCP); Gregory F. Hayden, MD
Arch Pediatr Adolesc Med. 1995;149(9):1042-1043. doi:10.1001/archpedi.1995.02170220107024.
Text Size: A A A
Published online

We would like to thank Drs Robson and Leung for their comments. As they state, our study does not support the use of bag specimens for the diagnosis of UTIs because a bag specimen results in a high false-positive rate. A bag specimen may be useful, however, when the physician would like to examine the urine in a healthy infant and is willing to withhold antibiotics until urine culture results are reported. If the culture is positive for pathogens, it may be a reflection of the periurethral flora, or it may mean that the urinary tract is infected. To differentiate between periurethral colonization of urine and a UTI, an in-and-out catheter or suprapubic aspiration is recommended for specimen collection. Obviously, if antibiotic therapy has already begun, the diagnosis of periurethral colonization of the urine vs UTI will be impossible to differentiate. Urine bag collection is reliable only if

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();