There is no need to treat pus cells in urine (pyuria), even if the count exceeds 100, as long as there are no noticeable symptoms. In the absence of symptoms, a urine culture or treatment is unnecessary except in the following three specific cases:
- If you have undergone a kidney transplant: Because the weakened immune system in this situation makes treating any infection crucial.
- If you are pregnant: Untreated infections could pose risks to both the mother and the baby.
- If you are scheduled to undergo a medical procedure or surgery involving the kidneys: To ensure the prevention of any potential complications.
Outside of these cases, there is no need for treatment or medical intervention if the individual is asymptomatic.
Additional Info:
- This approach aligns with modern guidelines for managing asymptomatic bacteriuria or pyuria, which emphasize avoiding unnecessary antibiotic use to prevent resistance.
- Routine testing in asymptomatic individuals is generally discouraged unless risk factors like pregnancy or immunosuppression are present.
- If symptoms do develop, such as pain, fever, or urinary discomfort, further investigation and treatment may be required.
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