Case history
Case history #1
A 27-year-old, healthy, sexually active woman presents with pain on urination and recent onset of urinary frequency and urgency. She has no costovertebral angle tenderness on examination.
Case history #2
A 74-year-old postmenopausal woman with diabetes mellitus presents with pain on urination and urinary frequency. This is her fourth episode of symptomatic UTI. Her previous episodes were confirmed with bacterial cultures.
Other presentations
Asymptomatic bacteriuria is a significant number of bacteria in the urine that occurs without the usual symptoms of UTI. It is present in up to 5% of healthy, pre-menopausal women with prevalence increasing with age such that by 80 years, 20% of healthy women resident in the community have asymptomatic bacteriuria.[3] The prevalence of asymptomatic bacteriuria in nursing home patients is up to 50%.[4] Asymptomatic bacteriuria usually does not need treatment.[5] Recommendations may differ for specific populations (e.g., pregnancy, patients undergoing endourological procedures).[1][6]
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