4 doctors weighed in:
My doctor said I had UTI symptoms and prescribed antibiotics without performing a urine culture. Should I be concerned?
4 doctors weighed in

Dr. Padmavati Garvey
Obstetrics & Gynecology
1 doctor agrees
In brief: Depends
Usually if you are not pregnant and have classic symptoms of a urinary tract infection, then you don't need to do a urine culture.
You should take a simple antibiotic for three days. If you are pregnant, however, a urine culture should be obtained prior to initiating antibiotcs. You should also have a repeat urine culture after you have finished the antibiotics to make sure the infection is gone.

In brief: Depends
Usually if you are not pregnant and have classic symptoms of a urinary tract infection, then you don't need to do a urine culture.
You should take a simple antibiotic for three days. If you are pregnant, however, a urine culture should be obtained prior to initiating antibiotcs. You should also have a repeat urine culture after you have finished the antibiotics to make sure the infection is gone.
Dr. Padmavati Garvey
Dr. Padmavati Garvey
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Dr. George Klauber
Pediatrics - Urology
In brief: Hopefully urinalysis
Minimum standard of care would require at least a simple dipstick urine analysis to be performed, this would be nitrite positive if bacteria were present & probably leucocyte esterase positive if white blood cells were present.
Many drs do not order a urine culture for an isolated UTI with typical symtoms. It certainly reduces management costs. Some drs always get urine cultures.

In brief: Hopefully urinalysis
Minimum standard of care would require at least a simple dipstick urine analysis to be performed, this would be nitrite positive if bacteria were present & probably leucocyte esterase positive if white blood cells were present.
Many drs do not order a urine culture for an isolated UTI with typical symtoms. It certainly reduces management costs. Some drs always get urine cultures.
Dr. George Klauber
Dr. George Klauber
Thank
Dr. Craig Keathley
Obstetrics & Gynecology
In brief: Not necessarily
Generally, it is better to have a culture in order to identify the bacteria and ensure that it is sensitive to the antibiotic chosen.
It is possible for non-infectious problems to cause symptoms similar to a uti. If the symptoms do not resolve after a course of antibiotics you should probably return for a urine culture prior to further treatment.

In brief: Not necessarily
Generally, it is better to have a culture in order to identify the bacteria and ensure that it is sensitive to the antibiotic chosen.
It is possible for non-infectious problems to cause symptoms similar to a uti. If the symptoms do not resolve after a course of antibiotics you should probably return for a urine culture prior to further treatment.
Dr. Craig Keathley
Dr. Craig Keathley
Thank
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