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7 year old with low grade fever and UTI. Repeated urinalysis done. Urine culture requested. Is there an infection?

Hi, im a pediatrician who recently encountered a patient with a urinalysis suspected of UTI so short of doing a repeat urinalysis, a urine culture was requested. It showed few growths of providencia sp.; can these be contaminants only? The patient is a previously healthy 7 year old male who presented with flu like symptoms and low grade fever. CBC was normal. Thanks
Asked On : Tue, 19 Mar 2013
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General & Family Physician 's  Response
Hello doctor and welcome to HCM.

Thank you for your query.

The providencia species are opportunistic pathogens. Although these are seen more commonly in patients with a long history of medical conditions and bed-restriction, it can result in previously healthy individuals with very poor hygiene. There is also a likelihood of a hospital contamination of the sample.

In my opinion, the best option would be to leave a short interval and repeat the urine culture examination, requesting experienced laboratory personnel to handle and test the sample. If a similar result is seen, then initiation of therapy would be required.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
Answered: Thu, 21 Mar 2013
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