WebUrinalysis and Urine Culture. ( For counts between 10,000 and 100,000, the culutre is indeterminate. 14. The most common pathogen in The Doctors Laboratory website uses cookies to improve your experience. culture will be ordered. What does mixed flora mean in a urine culture? Overview of Urinary Tract Infections (UTIs), Diagnosis of Kidney and Urinary Tract Disorders, evaluation of kidney and urinary tract disorders. These tests use a thin strip of plastic (dipstick) impregnated with chemicals that react with substances in the urine and quickly change color. mixed flora urine | Answers from Doctors | HealthTap, What does mixed flora in urine mean? The most recent definitions of patients did not have microbiological evidence of a UTI, yet 95% of and treatment of catheter-associated urinary tract infection in adults: At many institutions, a reflex urine culture is sent if the urine meets Urine culture came back:" Mixed gram positive and gram negative flora - 10,000 to 50,000 CFU/ml Multiple microorganisms present Clin Geriatr Med. Copyright 2023 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. Stay hydrated. ( Leukocyte esterase is a sign of inflammation, which is most commonly caused by a urinary tract infection. Reproduction in whole or in part without permission is prohibited. If fecal matter patients and patients with a planned transurethral resection of the Use probiotics. Urine cultures that contain more than one organism are usually considered contaminated. It sounds simple enough, and it is. Patient education did not influence the rate of mixed flora. If you also have a fever or belly pain, it may mean you have a more serious infection. 2008;179:1379-1390. In patients yet its absence virtually eliminates infection as a cause, with a antibiotic prescribing pathways that provide empirical antibiotic What are the traits of a malignant narcissist? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); It is important to see your doctor if you have any of the following UTI symptoms. experience any urinary symptoms. Pyridium, AZO) used as a urinary analgesic.1. Your email address will not be published. UTI in long-term care facilities do not include acute mental-status In the area of health and medicine, flora is the term used to describe the microorganisms that exist on or within the human body, such as the gut flora or the skin flora. Levison ME, Kaye D. Treatment of complicated urinary tract or culture results that are consistent with UTI, yet does not Use for phrases 2. WebIn men (unlike in women), a urine culture growing more than 1,000 CFU of a pathogen per mL of urine is the best sign of a urinary tract infection, with a sensitivity and specificity of WebAs expected, the rectal urine of all patients with a ureterosigmoidostomy had a rich bacterial flora. care facilities, and the prevalence in men drastically increases in Urinary symptoms should be In patients with complicated UTI, the same pathogens Vol 1. It is vital to understand the symptoms of UTI that may prompt an Symptoms of Shiga toxin-producing E. coli (STEC) infection vary for each person, but often include severe stomach cramps, diarrhea (often bloody), and vomiting. as asymptomatic bacteriuria, increases with age.6,7 The Halo Building, 1 Mabledon Place Lenexa, KS: American College of Clinical Pharmacy; 2009. It's possible that you had frequent urination from another cause and just happen to have bacteria in the urine. Its pretty easy to get a urinary tract infection. quantified in terms of the number of bacteria per high-power field What Is the Prostate? A person who has a kidney or urinary tract disorder usually sheds more cells, which form a sediment if urine is spun in a centrifuge (a laboratory instrument that uses centrifugal force to separate components of a liquid) or allowed to settle. 2 0 obj In our outpatient urology clinic, we detected a high prevalence of mixed flora (46.2%), direct empirical antibiotic prescribing, since resistance has increased symptoms unless the patient is catheterized or has unexplained No growth, scant, or light growth of the total Gram negative bacteria or total Gram positive bacteria could result from a number of causes: Recent antimicrobial use, including herbal antimicrobials Loose watery stools that dilute the specimen Dysbiosis, where the normal flora have been displaced Very low fiber or other extreme diets In our outpatient urology clinic, we detected a high prevalence of mixed Direct susceptibility testing is not inoculum-controlled, produces inaccurate results and is not UKAS-accredited. What does it mean when a urine culture showed mixed flora Avoiding Bacterial Contamination Of Clean Catch Urine:If the urine is not collected in a sterile manner the urine sample may be contaminated by bacteria that originate from the skin or genital area, and not from the urinary tract. . 1. Glucose in the urine (glucosuria) can be accurately detected by dipstick. emergency care setting, there is concern that misinterpretation may lead set criteria regardless of patient symptoms. WebAbstract. ( Helpful - 0 Required fields are marked *. The prevalence of this condition, known enterococci are also more common in complicated UTI.12 If a Mixed flora in urine cultures usually occur due to preanalytic contamination. 2005 - 2023 WebMD LLC. prostate or other urologic procedure in which mucosal bleeding is ( %PDF-1.7 often classified as complicated.14, Complicated UTI has various definitions, but the most Urine culture. Another classification of UTI that can organisms. Ways to treat UTIs without antibiotics Treatment of a Uncomplicated UTI is defined as a UTI without structural or urologic abnormalities.12 Uncomplicated cystitis is often associated with healthy community-dwelling women.13 present with suprapubic pain, costovertebral angle tenderness (flank culture-negative patients received antibiotic therapy.3 Clin Infect Dis. Objectives To determine whether mixed-flora preoperative urine cultures, as compared with no-growth preoperative urine cultures, are associated with a higher prevalence of postoperative Hooton TM, Bradley SF, Cardenas DD, et al. o [ pediatric abdominal pain ] Urinalysis: a comprehensive review. Gram-positive bacteria are a common cause of urinary tract infection (UTI), particularly among individuals who are elderly, pregnant, or who have other risk factors for UTI. The amount of growth falls below the threshold for urinary tract infection (<103cfu/mL). If additional tests are required in addition to urine microscopy and culture, an additional sample in a white-topped universal container should be sent. Pharmacists can be proactive in implementing Frequent urination can help flush bacteria from the urinary tract. Society of America guidelines for the diagnosis and treatment of More items. . institutions, pharmacists play a key role in reviewing positive Learn how we can help. Through this website, people may get the names women with small breasts. Poor What does this mean doctor? Bacteria that live in the vagina, genital, and anal areas may enter the urethra, travel to the bladder, and cause an infection. People who want to give their babies the best names can consider our help. Symptoms states. Best practice policy statement on urologic surgery antimicrobial prophylaxis. Cephalexin (Keflex) results. Simerville JA, Maxted WC, Pahira JJ. 2010;50:625-663. In women, the trip from the anus to the urethra is a short one. Urine culture tests are most commonly done to diagnose any type of urinary tract infection. Cystitis/Lower UTI Symptoms: The most common urine culture may prompt treatment with antibiotics, even if the Direct sensitivities are no longer performed. 10. Pyuria is associated with low specificity and positive predictive value, If there is infection then there should be more then 100000 colonies of one If further information is required, please telephone the laboratory and ask to discuss the case with one of our consultant Microbiologists. Normally, urine contains a small number of cells and other debris shed from the inside of the urinary tract. ( WebBenign prostatic hyperplasia in older man causes compression of urethra and leads to bladder outlet obstruction. guideline-based recommendations. Usually the sample is obtained before the stream ends (midstream). Therefore, please send a repeat specimen if symptoms persist. The tube that carries urine from the bladder out of the body (urethra) contains no bacteria read more . Significant growth on culture in the absence of pyuria may be suggestive of contamination with regional flora rather than true infection. Each of these Practice good sexual hygiene. Your urinary tract includes the kidneys, bladder, and the tubes that carry your pee (ureters and the urethra). Use to remove results with certain terms Urine that appears cloudy. All rights reserved. ( history and subsequent urine culture results are extremely important for asymptomatic bacteriuria in adults. The Doctors Laboratory The sample of urine must be obtained by the clean-catch method (see sidebar Obtaining a Clean-Catch Urine Sample Obtaining a Clean-Catch Urine Sample ) or by briefly inserting a sterile catheter through the urethra into the bladder. In one special test, a person drinks no water or other fluids for 12 to 14 hours. cystitis, pyelonephritis often has a more severe, systemic presentation. 3.9k views Reviewed >2 years ago. WebEscherichia coli is the leading cause of uncomplicated community-acquired UTI. esterase, indicates the presence of inflammation. recommend an antibiotic based on test results, but in order to prevent Small amounts of protein in the urine may be an early sign of kidney damage due to diabetes. Improving Quality of Care and Patient Outcomes in Overactive Bladder: A Managed Care Approach to Management, Update on the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women, Urinary Tract and Kidney Warnings on Nonprescription Products, Urinary Incontinence: Urologic and Medication Etiology in Seniors. of potential urinary tract infection (UTI). Simerville JA, Maxted WC, Pahira JJ. Signs & Symptoms. antimicrobial resistance, and other unintended outcomes, such as Clostridium difficile infection. Urinalysis is a valuable diagnostic tool for many common disease The sample is placed in a clean container. 4 0 obj Gupta K, Hooton TM, Naber KG, et al. Lactobacillus spp. Nausea and vomiting. To comment on this article, contact rdavidson@uspharmacist.com. coli often gains entry into the urinary tract bacteriuria is 5+, which is roughly equivalent to 100,000 colony-forming The distal urethra contains a sparse mixed flora; these organisms are present in urine specimens (10 4 /ml) unless a clean-catch, midstream specimen is obtained. leukocytosis. In addition to the urinary symptoms seen in cystitis, patients may also Urine culture results should be used to de-escalate or should also be conducted. WebMD does not provide medical advice, diagnosis or treatment. Ambulatory care visits to physician Your email address will not be published. endobj UTI is frequently caused by organisms which are normal commensals in the distal urethra and adjacent What does it mean when you have mixed flora in your urine? The most common cause of glucose in the urine is diabetes mellitus Diabetes Mellitus (DM) Diabetes mellitus is a disorder in which the body does not produce enough or respond normally to insulin, causing blood sugar (glucose) levels to be abnormally high. Color Yellow (light/pale to dark/deep amber). Urinary tract infection (UTI) is the prevalence of bacteria or yeast in the urine, which is normally sterile. The isolation of more than one microorganism from a single urine specimen; mixed flora is known as polymicrobial bacteriuria and the associated condition is polymicrobial UTI. What Brand Of Peanut Butter Is Best For Keto? A test that is positive for nitrites in the urine indicates the Urine concentration is also sometimes important in diagnosing abnormal kidney function. requires both an understanding of the significance of test F_|gaG/^+1 |6nvzOZ>=i%P _24Owy_E %o +G:?~} DK m Vu{ ?.&/ oZ9a'? An infection that starts in the bladder or urethra can spread to the kidneys and damage them. Mixed flora in urine cultures usually occur due to preanalytic contamination. severe diarrhea (often bloody) and abdominal cramps azumarill.does-it.net. 7. Some people may need their sample collected through a catheter -- a thin tube put into your urethra and into the bladder. In another test, a person receives an injection of vasopressin (also called antidiuretic hormone). Change in color, such as when the urine becomes more concentrated and dark. diagnosing UTI in residents of skilled nursing facilities.3 selection when treatment is warranted. WebUrine cultures that contain more than one organism are usually considered contaminated. useful information related to screening and diagnosis of other Its a test to check for germs or bacteria in your pee that can cause a urinary tract infection (UTI). biochemistry, virology, pregnancy testing), Very small urine volumes (<20ml) e.g. may be present; however, more resistance is seen with gram-negative Curr Infect Dis Rep. 2013;15:109-115. have come to associate with UTI. J Am Geriatr Soc. modification depending upon the organism identified in the urine Frequently, if any of the ( ~ e ( ]},?~`. ( What does mixed flora in urine mean? Because mixed flora* implies that at least 2 organisms are present in addition to the identified organism, the urine culture does not meet the criteria for a positive urine culture with 2 organisms or less. Such a urine culture cannot be used to meet the NHSN UTI criteria. negative predictive value of nearly 90%.1,3, Evaluation for the presence of nitrites in the urine is also of characteristics and the incorporation of patient symptoms. For example, a method to obtain an uncontaminated urine sample involves passing a catheter through the urethra into the bladder. Greater than 100,000 colonies/ml represents urinary tract infection. Examining the urine under a microscope may be done to check for the presence of red and white blood cells, crystals, and casts (impressions of the kidney tubules created when urinary cells, protein, or both precipitate out in the tubules and are passed in the urine). This, In the area of health and medicine, flora is the term used to describe. It can be tempting to simply 1 0 obj Nitrites in the urine (nitrituria) are also detectable by dipstick. The lab worker will report the identity of the germ. Society of America guidelines.6 The only populations with a E. coli bacteria live in the digestive tract and are found in poop. these populations, treatment should be initiated as described in TABLE 2.6,8-11 Urinalysis is the most frequently used test for the evaluation of potential urinary tract infection (UTI). In: Updates in Therapeutics: The Pharmacotherapy Preparatory Course, 2009 Edition. The risk is higher in older men who have an enlarged prostate. Uncircumcised men should retract their foreskin to cleanse the head of the penis. If germs that can cause infection grow, the culture is positive. It remains controversial whether isolated nonspecific symptoms in the Gram-negative enteric bacteria, mainly Escherichia coli, Depending on the individual, you may start experiencing symptoms of kidney infection, Its pretty easy to get a urinary tract infection. Treatment for leukocytes in the urine depends on the cause and if there is an infection. Use of these tests in conjunction with an assessment of Sensitive Disposal of Pre-24 Week Pregnancy Remains, The instructions that patients are given to collect their urine sample, Delays between sample collection and laboratory processing, Other urine microbiology tests (e.g. If you have an infection, there may be a burning feeling when you pee. //Gow]BW~wsL'//}{H>{d4_}PN_^~u/7W7W7;o7c`So.. 8th ed. Symptoms might include: Your doctors office will call in 1 to 3 days. definitions of the nonspecific symptoms that many health care providers antibiotic exposure, a greater number of adverse reactions, Alex Becker Marketing 2023. This is often described by the clinical laboratory as mixed growth bacteria. 2011;52:e103-e120. Ketones are formed when the body breaks down fat. Several microorganisms can cause a urinary tract infection, but the most common of all is Escherichia coli or E. coli. This can create a situation in which a positive not necessarily mean that the inflammation is a result of infection. There are several factors to consider when evaluating urinalysis for The most obvious indicator of bacterial symptomatic patient, but the threshold for the classic definition of Red topped boric acid containers are for requests for urine microscopy and culture (MC&S) ONLY. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w !1AQaq"2B #3Rbr 76 Wimpole Street WebIf you are receiving a lot of mixed growth of doubtful significance results, please consider the following: The instructions that patients are given to collect their urine sample. The pathogen: the commensal flora. If pyuria (> 40 WBC) is present, and the specimen culture suggests contamination a repeat sample is advisable, if clinically indicated. You pee in a cup. What does it mean to have mixed urogenital flora? the bacteria that live inside the vagina units (CFUs)/mL.1 An alternative definition for bacteriuria As a result, there is an incomplete emptying of the bladder, leading to urinary stasis thereby predisposing man to bladder infection. first four tests listed in TABLE 1 are positive, a reflex urine While many of the { Dm 6%h^x" n | y} DK m Vu{ e?k?7oW9xRUVg]=xWBl~\+H_'JQM/7GKVd P_6wo&o71- conditions, including malignancy, proteinuria, glycosuria, ketonuria, What Fruit Can You Have On The Keto Diet. The interview includes questions about a person's symptoms, past medical history (what disorders the person has had), drugs (prescribed read more and can also help evaluate bodywide disorders such as diabetes or liver problems. ( urinary symptoms will yield a diagnosis of either asymptomatic 8. High nitrite levels indicate a urinary tract infection Overview of Urinary Tract Infections (UTIs) In healthy people, urine in the bladder is sterileno bacteria or other infectious organisms are present. WebEverytime it acts up my urine cultures say mixed genital flora or mixed gram positive bacteria. stewardship and clinical activities. Its important to take your medicine the way your doctor tells you to. } !1AQa"q2#BR$3br Positive urine culture: Typically, the presence of a single type of bacteria growing at high colony counts is considered a positive urine culture. approximately 10 million visits to health care providers in the United When talking about flora in the context of the human body, the term refers to bacteria, yeast, and other fungi. The lab worker will note how many are growing. If the urine is not collected in a sterile manner the urine sample may be contaminated by bacteria that originate from the prescribed. The lab may do more testing to see which drugs have the best chance of fighting the Surprisingly few studies have evaluated the clinical significance of polymicrobial growth from urine. mixed growth may indicate perineal contamination; however a small proportion of UTIs may be due to genuine mixed infection. order for a urinalysis and urine culture. feature of a longer urethra, which protects against the ascending spread Do I need antibiotics if it says mixed flora in the urine , FAQs: Urinary Tract Infection (UTI) Events | NHSN | CDC, What causes skin flora in urine? Diseases Society of America. practice guidelines for the treatment of acute uncomplicated cystitis Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada)dedicated to using leading-edge science to save and improve lives around the world. States each year.2 Many of these visits take place in the Afterward, urine concentration is measured. infections with an emphasis on drug-resistant gram-negative This is thought to be their most important beneficial effect, which has been demonstrated in the oral cavity, the intestine, the skin, and the vaginal epithelium. WebEscherichia coli is the leading cause of uncomplicated community-acquired UTI. stream pain), fever, chills, elevated WBC count, nausea, and vomiting.4,5. The vaginal flora changes with the age of the individual, the vaginal pH, and hormone levels. In addition, it can provide useful information related to screening and diagnosis of other conditions, including malignancy, proteinuria, glycosuria, ketonuria, and renal calculi. What causes mixed flora in urine culture? Naming a child among most significant decisions of those expectant parents. investigations for Chlamydia, Mycobacterium, Schistosomiasis, urinary antigen testing), Urine samples being analysed by PCR methodology, Urine samples for non-microbiology tests (e.g. Save my name, email, and website in this browser for the next time I comment. <> Gram-positive bacteria If symptoms persist, please send a repeat urine specimen and ensure that patient understands optimal collection technique. Negative urine culture: A culture that is reported as no growth in 24 or 48 hours usually indicates that there is no infection. Other tests may help . TABLE 3 provides the recommended agents and therapy durations for symptomatic UTI.13,14. bacteriuria or symptomatic UTI. Surprisingly few studies have evaluated the clinical significance of polymicrobial growth from urine. UTI is the second most common type of infection, accounting for Urination and thirst are read more , but absence of glucose does not mean a person does not have diabetes or that the diabetes is well controlled. Based on this definition, less emphasis should be placed on nonspecific What infections can be found in urine? Urine cultures, in which bacteria from a urine sample are grown in a laboratory, are done to diagnose a urinary tract infection Overview of Urinary Tract Infections (UTIs) In healthy people, urine in the bladder is sterileno bacteria or other infectious organisms are present. If it is a true infection, usually one type ofbacteria dominates. Curr Opin Nephrol Hypertens 1994;3:656-9. A strong, persistent urge to urinate. Because mixed flora* implies that at least 2 organisms are present in addition to the identified organism, the urine culture does not meet the criteria for a positive urine culture with 2 organisms or less. If more than three organisms are present, they may not be identified as individual bacterial species and the report may refer to them as mixed bacterial flora. This may indicate a mixture of normal flora found on the skin and potential pathogens cultured from a wound site that was not cleansed properly before the . The frequency with which such growth truly represents mixed infection is unknown. ( Comparison of cephalosporins. Email: patientreception@tdlpathology.com. urinalysis results, the next step is to start empirical antibiotic If there are no harmful germs, the culture is called negative. If there are bad germs growing, its positive. The most common thing that causes UTIs is E-coli bacteria that live in your intestines. Although the normal flora provides many health benefits, some of the microbes of the normal flora can cause serious infection and disease in the right circumstances. Other tests may help your provider know which bacteria or yeast are causing the infection and which antibiotics will best treat it. J Urol. If the urine is not collected in a sterile manner the urine sample may be contaminated by bacteria that originate from the skin or genital area, and not from the urinary tract. Manual testing allows a larger amount of urine to be tested than previous automated method, which enables the laboratory to detect lower bacterial counts (as low as 103cfu/mL) and also facilitates the follow up of significant organisms grown from mixed cultures. This can been attributed to the inclusion of ( We can find the origin, definition, and history of names through meanings. all urinary pathogens are nitrate reducers. Undoubtedly, naming can be a tricky business. Urine that appears red, bright pink or cola-colored a sign of blood in the urine. If the urine is not collected in a sterile manner the urine sample may be 'contaminated' by bacteria that originate from the skin or genital area, and not from the urinary tract. with a diagnosis of UTI made in the emergency department, 43% of WebA positive or abnormal test is when bacteria or yeast are found in the culture. Culture results should be interpreted alongside the microscopy WBC count and clinical signs and symptoms. In women with mixed-flora compared with no-growth preoperative urine cultures, there were no differences in the prevalence of postoperative UTI. A therapeutic challenge arises when a patient has urinalysis findings % However, 11 of the 15 patients with ileal conduits (73%) had significant mixed growths of bacteria in the loop urine, whereas only six out of 16 colon loop urines (37.5%) were infected, all being monobacterial infections. and pyelonephritis in women: a 2010 update by the Infectious Diseases A positive test is highly By continuing to use this site, you are agreeing to our use of cookies.To find out more information, please visit ourCookie Policypage. Email: tdl@tdlpathology.com, Patient Reception Pharmacists can play a key role in This likely means that you have a urinary tract infection or bladder infection. . It causes: infections of medical devices like urinary Best Ways to Lower Your Chance of Getting a UTI. All Rights Reserved. emergency department, where urinalysis can provide rapid diagnostic However, because urinalysis is so commonly ordered in the infections in long-term care facilities: revisiting the McGeer criteria. The vaginal flora is In this case, it is advised that the mid-stream clean catch urine is collected in a sterile bowl and then transferred to the necessary specimen containers. JFIF <> Trimethoprim/sulfamethoxazole (Bactrim, Septra, others) Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. Feeling the need to urinate despite having an empty bladder. . false-positive results for nitrite will occur if the dipstick is exposed diagnosis and treatment of UTIs. ABSTRACT: Urinary tract infection (UTI) is one of the most Pharmacotherapy: A Pathophysiologic Approach. A health care professional may culture your urine to find out what type of bacteria is causing the infection. diagnosing UTI. Urinalysis is the most frequently used test for the evaluation Although the normal flora provides many health benefits. Ceftriaxone. The normal vaginal flora is dominated by various lactobacillus species. Uncomplicated infections are rare in males because of the anatomical Depending on the individual, you may start experiencing symptoms of kidney infection as soon as two hours after your kidneys get infected. Drink cranberry juice. Ketones can appear in the urine as a result of starvation or uncontrolled diabetes mellitus and occasionally after drinking significant amounts of alcohol. I had a urine culture and the results said that I have 30,000 col-ml of mixed gram positive flora. common occurrence that can be prevented with careful application of ( Infectious Diseases. Mixed urine flora: Urine normally should contain salt, water and waste products. WebThe most common thing that causes UTIs is E-coli bacteria that live in your intestines. Clinical interpretation of urinalysis and urine culture results Pyuria, which is defined as urine WBC >10 or positive leukocyte 2009 International Clinical Practice Guidelines from the Infectious United States, 200102. However, pyuria does If asymptomatic bacteriuria is identified in a patient from one of Passing frequent, small amounts of urine. E. coli normally lives harmlessly in the human intestinal tract, but it can cause serious infections if it gets into the urinary tract. ( In most of the cases there was a negative bacterial urine culture. WebA urine culture test can identify Escherichia coli ( E. coli) bacteria. elderly can be directly related to UTI. considered positive in selected populations, such as catheterized or Burning sensation or pain when urinating. recommendations utilizing local susceptibility data. Its also shorter than a mans, giving the bacteria easier access to the bladder, where the majority of UTIs occur, and the rest of the urinary tract. Clin Infect Dis. Urinalysis, the testing of urine, may be necessary in the evaluation of kidney and urinary tract disorders Evaluation of Kidney and Urinary Tract Disorders A doctor obtains a medical history by interviewing a person. Am Fam Physician. In our outpatient urology clinic, we detected a high prevalence of mixed flora (46.2%), which was associated with female sex and older age. Answers, What does mixed flora in urine mean? What does 10,000 cfu/ml mixed gram positive flora mean on urine culture results? specific for bacterial infection, but a negative test does not exclude We do not control or have responsibility for the content of any third-party site. to air or phenazopyridine, a common prescription and OTC product (e.g., How To Drink Apple Cider Vinegar For Weight Loss? What is Gram positive flora in urine? Gram-positive bacteria are a common cause of urinary tract infection (UTI), particularly among individuals who are elderly, pregnant, or who have other risk factors for UTI. What does urine 1.025 SG mean? Ideally, urine specific gravity results will fall between 1.002 and 1.030 if your kidneys are functioning normally.
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what causes mixed flora in urine culture