Case | Culture results | Diagnosis based on guideline criteria | Comments | Guideline-consistent diagnoses (%) | Guideline-concordant signs/symptoms endorsed (Number of clinicians) | Guidelines-discordant signs/symptoms endorsed (Number of clinicians) |
---|---|---|---|---|---|---|
1 | >105Â CFU/mL Klebsiella Pneumoniae | CA-ABU | Systemic leukocytosis, receiving systemic corticosteroids | 6 (60%) | Urinary symptoms incorrectly identified as present (1) | Pyuria (5) |
Lack of fever (6) | Leukocytosis (7) | |||||
 | Elderly/frail patient (5) | |||||
 | Weakness (3) | |||||
 | Organism number (1) | |||||
2 | <104Â CFU/mL gram positive organisms | CA-UTI | Fever of 103.3 degrees, and no other source identified | 4 (40%) | Lack of urinary symptoms (2) | Pyuria (3) |
 | Leukocytosis (4) | |||||
Fever (6) | Organism type (3) | |||||
Delirium (3) | Elderly/frail patient (5) | |||||
Hematuria (3) | Isolated Organisms (3) | |||||
3 | >105Â CFU/mL E. coli; and >103 - <105Â CFU/mL Klebsiella oxytoca | CA-ABU | Leg weakness, no symptoms of urinary tract infection | 1 (10%) | Â | Pyuria (3) |
Leukocytosis (7) | ||||||
Organism type (6) | ||||||
Elderly/frail patient (5) | ||||||
Weakness (6) | ||||||
Patient fall (5) | ||||||
History of UTIs (3) | ||||||
4 | >105Â CFU/mL Candida albicans | CA-ABU | No symptoms of urinary tract infection | 10 (100%) | Presence of respiratory symptoms [alternate cause] (4) | Lack of leukocytosis/mild Leukocytosis (3) |
Lack of fever (3) | Organism type (6) | |||||
Intact mental status (2) | Elderly/frail patient [likely to colonized candida] (3) | |||||
No urinary symptoms (2) | Â | |||||
Total | Â | Â | 21 (53%) | Â | Leukocytosis, pyuria, frailty cited by 3-7 respondents in every case |