Diagnosing UTI: Group D strep and similar strep are normal in the vagina and can contaminate urine. But in a clean sample, GDS is not normal in urine, and it can cause UTI. Symptoms alone don't diagnose UTI. If true UTI, you would have increased WBC in urine (or positive leukocyte esterase dipstick) and culture showing over 10,000 GDS per ml. If so, you need treatment for UTI. Ask for infectious disease consult.
Answered 10/16/2019
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