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Antibiotics in Renal Colic

Three Part Question

In [renal colic] is [a raised white cell count] an [indication for antibiotic therapy]?

Clinical Scenario

A 34 year old male presents to the Emergency Department with right flank pain. A clinical diagnosis of renal colic is made. An hour later his white cell count is found to be 22x10(9)/l. You wonder if this is an indication for antibiotic therapy.

Search Strategy

Medline 1966 - 01/03/2003 using the OVID interface
[{ OR}] AND {exp kidney calculi OR exp urinary calculi OR exp colic} AND {exp antibiotics OR white cell}
LIMIT to human AND English.

Search Outcome

62 papers were found of which none were relevant.



Clinical Bottom Line

There was no evidence to support treating a raised white cell count with antibiotics in renal colic. The best approach may be to give antibiotic therapy based on clinical evidence of sepsis.