0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Purple Urine Bag Syndrome

James R. Johnson, MD
JAMA. 2012;307(18):1913. doi:10.1001/jama.2012.3584.
Text Size: A A A
Published online

Extract

To the Editor: The rationale for the urine culture that is included as part of the correct response to the patient with PUBS is unclear.1 Because the patient had a chronic indwelling urinary catheter, bacteriuria is predictably present regardless of the urine's appearance or odor, which makes a positive culture highly nonspecific and therefore of little diagnostic value. The utility of defining the identity and susceptibility profile of whatever urine organisms might be present is low unless antimicrobial therapy is to be given. However, antimicrobial therapy should not be given in this case because PUBS (like all asymptomatic bacteriuria except during pregnancy and prior to invasive urological procedures)2 apparently is benign and antimicrobial therapy is not. This patient's physician exhibited commendable restraint in not responding to the patient's positive urine culture with antimicrobial therapy. But why even risk the temptation to treat? Better not to do the culture in the first place.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

May 9, 2012
Hyuk Ga, MD, PhD; Taro Kojima, MD
JAMA. 2012;307(18):1912-1913. doi:10.1001/jama.2012.3540.
May 9, 2012
Eli Ben-Chetrit, MD; Gabriel Munter, MD
JAMA. 2012;307(18):1913. doi:10.1001/jama.2012.3609.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();