{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:49:01Z","timestamp":1787676541402,"version":"build-2784847793"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine accuracy of negative urinalysis (UA) for predicting negative urine culture and the absence of urinary tract infection (UTI), and optimal urine culture growth cutoff for UTI diagnosis in men with and without urinary catheters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>UAs with urine cultures within 1 week from adult men were identified and evaluated. Predictive values for the absence of UTI (absence of \u22651 of the following criteria: documentation of UTI diagnosis, antibiotic prescription, uropathogen presence on culture) were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 22\u2009883 UAs were included. Negative UA had a high predictive value for negative urine culture (0.95, 95% confidence interval [CI]: 0.94\u20130.95) and\u00a0absence of UTI (0.99, CI: 0.99\u20130.995) in the overall cohort. Negative UA also had a high predictive value for negative urine culture (0.93, CI: 0.90\u20130.95) and\u00a0absence of UTI (0.99, CI: 0.98\u20130.999) in those with indwelling urinary catheters. The traditional threshold of culture growth of 100\u2009000 colony\u2010forming units (CFU)\/mL did not capture 22% of UTIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>UA exhibits high predictive value for negative urine culture and absence of UTI in men, supporting a protocol wherein culture is only performed in the context of abnormal UA. The traditional 100\u2009000 CFU\/mL cut\u2010off may have not captured a subset of UTI in the male population, and warrants further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.25549","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T05:55:04Z","timestamp":1720677304000},"page":"1850-1858","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Urinalysis is predictive for absence of urinary tract infection in men with and without catheters"],"prefix":"10.1002","volume":"43","author":[{"given":"Paul","family":"Oh","sequence":"first","affiliation":[{"name":"Department of Urology Glickman Urological and Kidney Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin C.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Urology Glickman Urological and Kidney Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"Shoskes","sequence":"additional","affiliation":[{"name":"Department of Urology Glickman Urological and Kidney Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8626-8248","authenticated-orcid":false,"given":"Sandip","family":"Vasavada","sequence":"additional","affiliation":[{"name":"Department of Urology Glickman Urological and Kidney Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard\u00a0B.","family":"Goldman","sequence":"additional","affiliation":[{"name":"Department of Urology Glickman Urological and Kidney Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadley M.","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Urology Glickman Urological and Kidney Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel D.","family":"Rhoads","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine Cleveland Clinic Foundation Cleveland Ohio USA"},{"name":"Cleveland Clinic Lerner College of Medicine, Case Western Reserve University Cleveland Ohio USA"},{"name":"Infection Biology Program, Lerner Research Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9518-672X","authenticated-orcid":false,"given":"Glenn T.","family":"Werneburg","sequence":"additional","affiliation":[{"name":"Department of Urology Glickman Urological and Kidney Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"FeinsteinL MatlagaB.Urologic diseases in America. 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