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Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Urine Studies II: Urine Culture and Sensitivity Test01:26

Urine Studies II: Urine Culture and Sensitivity Test

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A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
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Antibiotic Selection

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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Related Experiment Video

Updated: Jul 19, 2025

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Antibiotic Stewardship in Urology.

Sarah Coleman1, Howard B Goldman1

  • 1Glickman Urologic and Kidney Institute, Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio.

Urology Practice
|August 10, 2023
PubMed
Summary

Antibiotic resistance is a growing threat. Antibiotic stewardship programs, which optimize antimicrobial use, are crucial for improving patient outcomes and reducing resistance, especially in urology.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Urology

Background:

  • Rising antibiotic resistance and declining new antimicrobial development pose significant healthcare challenges.
  • Antimicrobial resistance necessitates strategic interventions to preserve treatment efficacy.

Purpose of the Study:

  • To review the critical role of antibiotic stewardship in managing infectious diseases.
  • To highlight the importance of optimizing antimicrobial use in clinical practice.

Main Methods:

  • A review of current issues and strategies related to antibiotic stewardship.
  • Examination of organized processes for measuring and optimizing antimicrobial utilization.

Main Results:

  • Antibiotic stewardship programs aim to reduce toxicity and resistance while improving patient outcomes.
Keywords:
anti-bacterial agentsbiopsycystitisinfectionprostate

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  • Urologists are well-positioned to implement stewardship due to the prevalence of genitourinary infections.

    • Conclusions:

    • Implementing antibiotic stewardship is essential for addressing infectious problems in urology.
    • Optimized antimicrobial use is key to combating resistance and improving patient care in urological settings.