Sepsis frequently originates from urinary infections in older adults, yet diagnosis is often flawed. Routine dipsticks can miss true infection and overcall colonization. This article explains the limitations of traditional testing and introduces a more accurate strategy: urinalysis with culture, followed by PCR when needed. Early recognition and improved diagnostics can significantly alter outcomes.

Bacteria in the urine does not always require treatment—but failing to treat a true infection can be dangerous. This article explains when bacteriuria can be safely observed and when it must be treated to prevent complications such as kidney infection, bacteremia, and sepsis.