Urine: >100 x 106 cfu/L Escherichia coli – Shipped May 14, 2018
HISTORY
A simulated urine collected from a 32 year-old female with dysuria was sent to category A and C laboratories.
Participants were expected to report colony count, the presence of Escherichia coli and perform susceptibility testing.
MAIN EDUCATIONAL POINTS from M181-1
- Escherichia coli remains the most common and important pathogen from urine cultures in all populations.
- Significant changes with reporting of oral first-generation cephalosporin in Enterobacteriaceae have taken place in guidelines. Laboratories are reminded that cephalothin is no longer recommended as a surrogate for these agents, and cefazolin testing values should instead be used to predict their activity.
