Don’t perform an urino-culture if without symptoms.
It is known and agreed that asymptomatic bacteria have not to be treated with antibiotics; this is why it is not appropriate to request a urino-culture in asymptomatic patients that at the physical examination present with elevated leukocytes and/or bacterial presence. Indeed, asking for a culture to find out a microorganism that is not provoking an infection induces the practitioner to treat, in an inappropriate way, the asymptomatic culture.
1) Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America https://www.idsociety.org/practice-guideline/asymptomatic-bacteriuria/
Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.