Table 2 Summary of clinical vignettes with the corresponding proportions of correct responses
Summary of clinical vignettes | Diagnosis | Treatment | |
|---|---|---|---|
Expected responses to diagnosis and management | Correct response /total responses (%) | Correct response/correct diagnosis (%) | |
1. A 50-year-old man with hypertension was seen for annual physical exam, with no urinary symptoms. Routine UA showed pyuria; UC grew ≥105/ml of Escherichia coli. | ABU, no treatment is needed | 31/95 (32.6) | 31/31 (100) |
2. A 70-year-old woman with recurrent UTI history admitted due to trauma, without urinary symptoms. UA showed pyuria; UC grew ≥105/ml of Escherichia coli. | ABU, no treatment is needed | 42/95 (44.2) | 39/42 (92.9) |
3. A 68-year-old man with an indwelling foley catheter had cloudy urine, without urinary symptoms or signs of infection. UA showed pyuria; UC grew ≥105/ml of Klebsiella pneumoniae. | ABU, no treatment is needed | 19/95 (20.0) | 18/19 (94.7) |
4. A 82-year-old woman without urinary symptoms was seen preoperatively before total knee arthroplasty. A preoperative UC grew ≥105/ml of Klebsiella pneumoniae. | ABU, no treatment is needed | 37/95 (38.9) | 34/37 (91.9) |
5. A pregnant woman at 12 weeks’ gestation without urinary symptoms presented with pyuria, nitrite positivity on UA. UC grew ≥105/ml of Escherichia coli. | ABU, indicated for antibiotic therapy | 29/95 (30.5) | 17/29 (58.6) |
6. A 75-year-old man was about to undergo transurethral resection of the prostate. A preoperative UC grew ≥105/ml of Klebsiella pneumoniae. | ABU, indicated for antibiotic therapy | 34/95 (35.8) | 21/34 (61.8) |
7. A 68-year-old woman admitted to the ICU with altered mentality due to drug intoxication developed SIRS. She had an indwelling Foley catheter. UC grew ≥105/ml of Escherichia coli. No other suspected infection focus was found. | UTI, indicated for antibiotic therapy | 89/95 (93.7) | 88/89 (98.9) |