00:00
Now what about
bacteria or yeast,
well, if you have fine
bacteria in the urine,
obviously, there's a bad sign
but bacteria yeast in a urine culture
could be an indicator of an infection.
00:13
We report this as positive
for bacterial or yeast.
00:16
Now this point will we
know what type of bacteria?
No.
00:20
Would we know if
it's gram-positive?
No.
00:24
All these tells us
that you have bacteria
or yeast present in your urine.
00:30
Now normal growth is a normal result
that means there's no infection.
00:33
But if you see positive for
bacteria yeast on a urinalysis
we've got something that
probably needs to be followed up.
00:42
Now just as I say that
I'm going to talk about
asymptomatic bacteriuria.
00:47
Now what you know about
breaking down words,
we've got urea so we're
still talking about urine
bacter means bacteria.
00:55
So I'm talking about
somebody without symptoms
asymptomatic bacteruria.
01:01
That is the isolation of bacteria in an
appropriately collected urine specimen
you got from a person
without symptoms of a UTI.
01:10
Now if you've ever had a UTI,
they're miserable, if you feel
like you need to pee all the time,
but when you do,
not very much comes out
and it burns and
it's uncomfortable,
people with asymptomatic bacteriuria
don't have any of those symptoms.
01:25
They have no idea
that they have any
type of problem
that's why it's
called Asymptomatic.
01:32
So what are examples of patients
who commonly have
asymptomatic bacteriuria?
Well two main categories.
01:40
So we've talked about what
asymptomatic bacteriuria is
but should we treat it
who most likely gets it?
Well, I've got two
pictures up there for you
one of a catheter and one of
a clearly pregnant person.
01:54
These are the two
groups of patients
who are most likely to have
asymptomatic bacteriuria.
02:00
When it comes to catheters,
we're talking about people who
have prolonged catheterization
or somebody uses intermittent
clean catheterization,
like people with
spinal cord injuries.
02:09
They often have
asymptomatic bacteriuria.
02:13
Now do we treat it?
No, thumbs down.
02:17
If someone who is not pregnant,
but they have a
spinal cord injury
and they use clean
catheterization
or they have a chronic
indwelling catheter.
02:26
You just let it be,
it just is what it is.
02:28
Don't mess with it.
02:30
There's is no need
for antibiotics.
02:32
Pregnant patients,
what do you think?
Yes or no?
Yes, you do treat it
with pregnant patients.
02:40
So how you might see this
on a test question is
you might have a description
of a patient who's pregnant,
they had a positive sighting of
bacteria under urine analysis,
but they have no symptoms.
02:53
Should you treat it?
Yes.
02:55
Would you expect the
physician to treat it?
Absolutely.
02:59
So know that the most
common categories are
people with chronic catheter use
whether it's indwelling
or intermittent
and pregnant patients.
03:09
We don't treat the
chronic patients.
03:11
We do treat the
pregnant patients.