Don't Start Antibiotics Based Just on Pyuria or Nitrites in the Urine

April 2015

You'll see a renewed push to avoid using antibiotics for ASYMPTOMATIC bacteriuria in men and women.

The Infectious Diseases Society of America (IDSA) recently added this to their list of Choosing Wisely "don'ts."

That's because bacteria in the urine usually come and go without consequence...even in catheterized patients.

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Table of Contents

Thyroid Disorders Explain It's Okay to Take Levothyroxine in the Evening
Smoking Cessation Try to Avoid Chantix in Patients With a History of Seizures
Diabetes Think of Toujeo as a More Concentrated Form of Lantus
Diabetes Lean Away From Using Glyburide in Pregnant Women
Statins Use a Statin in Most Diabetes Patients Between 40 and 75
Obesity & Weight Loss Consider Fluoxetine Instead of Paroxetine for a More Weight-Neutral SSRI
Dermatology Expect Icatibant to be Saved for Severe Cases of ACEI-Associated Angioedema
Infectious Diseases Don't Start Antibiotics Based Just on Pyuria or Nitrites in the Urine
ADHD Try Adding Atomoxetine if Methylphenidate Response Is Inadequate
Neurology & Pain Keep in Mind NSAIDs Work as Well as Opioids for Most Acute Injuries
Vaccines Give the New Gardasil 9 to START or COMPLETE an HPV Series
Geriatrics Explain Recent Studies Don't Prove Anticholinergics Cause Dementia
Hospital Acquired Use Chlorhexidine Baths if Your ICU Has High Infection Rates
New Drugs Don't Use Triferic to Replete Iron Stores