Pre-operative Urine Screening

is scheduled for hip arthroplasty later this week. She presents today for pre-op screening in clinic and is feeling well.

Should a urinalysis/urine culture be collected?

How did others respond?

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Best Answer:

No 👎

Explanation: IDSA guidelines recommend AGAINST screening and treatment for asymptomatic bacteriuria (ASB) in nonurologic surgery.

Treating in this setting DOES NOT ⬇️ surgical site infections. When infections occur, they are caused by different organisms 🦠

Large studies have found when pre-op screening for ASB is eliminated, there was NO CHANGE in overall surgical site infection rates 🎉

Let’s say it again: symptom free pee, let it be!