Evidence map›Paper›PMID 41658850›Full record

ArticleCureus2026

Urine Analysis as a Reliable Indicator of a Urinary Tract Infection: A Cross-Sectional Study.

Zaraq R Khan, Zeeshan Ullah, Adel Alwakeedi, Imad Majeed, James Snyder

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zaraq R KhanInfectious Disease, University of Louisville Hospital, Louisville, USA.
Zeeshan UllahInternal Medicine, Lady Reading Hospital, Peshawar, PAK.
Adel AlwakeediInfectious Disease, University of Louisville Hospital, Louisville, USA.
Imad MajeedInfectious Disease, University of Louisville Hospital, Louisville, USA.
James SnyderMicrobiology, University of Louisville Hospital, Louisville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infection (UTI) is one of the most common clinical entities encountered by physicians in a healthcare setup. The fact that there are no definitive criteria for diagnosing a UTI, leads to overdiagnosis and hence excessive use of antibiotics which eventually leads to multi-drug resistant microorganisms.

objectivesTo determine the correlation of positive urine analysis based on greater than 10 white blood cell count (WBC)/high power field (HPF) with a true UTI according to our operational definition.

methodsThis study is a cross-sectional retrospective study. The patient population to be studied consists of in-patients and patients being evaluated in the emergency room in the University of Louisville Healthcare (UofL Health) network. A target of 100 patients was set as a goal for our study. A non-randomized consecutive sampling was done. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 25. Descriptive statistics, including means ± SDs for quantitative variables and frequencies/percentages for qualitative variables, were computed.  Results: Our study included 100 patients, with a gender distribution of 48% male and 52% female, and a mean age of 59.62 years (SD = 17.56, range: 20-94 years). UTI diagnoses were established in 17% of cases as per our operational definition in which the majority were female (76%). Symptomatic presentation was observed in 23% of the cohort, while the majority (77%) remained asymptomatic.

conclusionUrine analysis is not always a true indicator of a UTI and hence hospital policy of doing a reflex culture to a positive urine analysis should be discouraged as it leads to overdiagnosis and, hence, unnecessary use of antibiotics.

Indexed as

antibiotic stewerdshipasymptomatic bacteriuria (asbu)sterile pyuriaurinary tract infectionuti criteria

Identifiers

PMID41658850
PMCPMC12882473

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