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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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7 Year Old With Low Grade Fever And UTI. Repeated Urinalysis Done. Urine Culture Requested. Is There An Infection?

Hi, im a pediatrician who recently encountered a patient with a urinalysis suspected of UTI so short of doing a repeat urinalysis, a urine culture was requested. It showed few growths of providencia sp.; can these be contaminants only? The patient is a previously healthy 7 year old male who presented with flu like symptoms and low grade fever. CBC was normal. Thanks
Thu, 21 Mar 2013
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General & Family Physician,  's  Response
Hello doctor and welcome to HCM.

Thank you for your query.

The providencia species are opportunistic pathogens. Although these are seen more commonly in patients with a long history of medical conditions and bed-restriction, it can result in previously healthy individuals with very poor hygiene. There is also a likelihood of a hospital contamination of the sample.

In my opinion, the best option would be to leave a short interval and repeat the urine culture examination, requesting experienced laboratory personnel to handle and test the sample. If a similar result is seen, then initiation of therapy would be required.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
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7 Year Old With Low Grade Fever And UTI. Repeated Urinalysis Done. Urine Culture Requested. Is There An Infection?

Hello doctor and welcome to HCM. Thank you for your query. The providencia species are opportunistic pathogens. Although these are seen more commonly in patients with a long history of medical conditions and bed-restriction, it can result in previously healthy individuals with very poor hygiene. There is also a likelihood of a hospital contamination of the sample. In my opinion, the best option would be to leave a short interval and repeat the urine culture examination, requesting experienced laboratory personnel to handle and test the sample. If a similar result is seen, then initiation of therapy would be required. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes.