The Clinical Significance of Asymptomatic Bacteriuria in the Nonpregnant Woman

Asscher, A. W.; Sussman, M.; Waters, W. E.; Evans, J. A. S.; Campbell, H.; Evans, Katharine; Williams, Jonathan

doi:10.1093/infdis/120.1.17

Cited by 33 publications

(22 citation statements)

References 2 publications

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“…Twenty five percent to 50% of elderly women and 15-40% of elderly men in longterm care facilities are bacteriuric (Nicolle, 1997). A high incidence of pyuria has been reported in patients on hemodialysis, but has not been correlated with bacteriuria (Cabaluna et al, 1977), but asymptomatic bacteriuria is associated with an increased risk of symptomatic urinary tract infection is in agreement with findings of other investigators (Kunin, 1970;Gaymans et al, 1976) this association with pyuria in many cases will eventually develop into symptomatic true UTI (Hooton et al, 2000;Asscher et al, 1969;Chaudhry et al, 1993) like our study. Some authors agree with the fact that the sensitivity, specificity and positive predictive value of the urine analysis is low and only a third to half of patients with positive urine culture results can be identified correctly (Lin et al, 2000).…”

Section: Discussionsupporting

confidence: 91%

Asymptomatic Bacteriuria and Pyuria in Patients with Chronic Renal Failure Undergoing Hemodialysis at Dialysis Centers in Kermanshah, Iran

Payandeh¹,

Raeisi²,

Shahriari³

et al. 2015

Research J. of Microbiology

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Pyuria is the presence of increased numbers of polymorphonuclear leukocytes in the urine and is evidence of an inflammatory response in the Urinary Tract Infection (UTI). The aim of this study is determination asymptomatic bacteriuria and pyuria in patients undergoing hemodialysis with chronic renal failure. Out of 103 patients with renal failure undergoing hemodialysis who were able to produce urine with clean catch way, we received urine sample. All samples were examined by the Microbiologist in Central Laboratory of Kermanshah, Iran. The mean age for the patients at diagnosis was 42.4 years (range, 20-67 years). Sixty-four patients (62.5%) were male and thirty-nine (37.5%) were female. Results have been showed 39 cases were aged between 44-49 years and the highest number cases were middle-aged. Out of 31 patients with leukocytosis, 14 patients had age between 44-49 years and majority of them were male. Pyuria(>10 WBC/HPF or <10 WBC/HPF) was more in male that had between 40-49 years. Patients (10/12) with pyuria (>10 WBC/HPF) developed colony count more than 10 5 colony-forming units per milliliter that indicating positive culture. Microorganisms didn't grow in patients (10/19) with pyuria (<10 WBC/HPF). This study demonstrates that the UTI, even in end stage renal disease (ESRD) patients on hemodialysis, may represent a significant reservoir for infection and pyuria >10 WBC/HPF is a good marker for significant bacteriuria in these patients.

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Section: Discussionsupporting

confidence: 91%

Asymptomatic Bacteriuria and Pyuria in Patients with Chronic Renal Failure Undergoing Hemodialysis at Dialysis Centers in Kermanshah, Iran

Payandeh¹,

Raeisi²,

Shahriari³

et al. 2015

Research J. of Microbiology

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“…Reliance on symptoms is insufficient; only four of the 21 women with positive cultures had urinary tract symptoms. However, treatment of UTI is often followed by reinfection, and some workers are sceptical of the value of screening for bacteriuria in women who are not pregnant (Asscher et al, 1969). In this study we have shown ( Table 2) that women with UTI are more likely to have had coitus during the previous 24 hours than are women without UTI.…”

Section: Discussionmentioning

confidence: 57%

“…This is a slightly higher percentage than would be expected in a population of healthy, young women. Asscher et al (1969), for M. G. Mead and R. N. Gruneberg example, found significant bacteriuria in 3 % of 3578 healthy women aged 20-65. Gruneberg et al (1969) found significant bacteriuria in 4-4% of 8907 women attending an antenatal clinic.…”

Section: Discussionmentioning

confidence: 95%

Urinary tract infection in a clinic for sexually transmitted diseases.

Mead¹,

Grüneberg²

1978

Sexually Transmitted Infections

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SUMMARY A study of the prevalence of urinary tract infection (UTI) in 430 women attending a clinic for sexually transmitted diseases and its relationship to sexual activity is presented. UTI, usually asymptomatic, was found to be slightly more common in women attending the clinic than in the general population, its prevalence being 4 9%. UTI was more commonly found in patients who gave a history of recent sexual intercourse, which suggests that recent coitus was a factor in the development of significant bacteriuria. The likelihood of finding significant bacteriuria was not related to the number of sexual partners in the previous year. Trichomoniasis was more common in the small group of patients with UTI than in other women. The most common causative organism of UTI was Escherichia coli, and the isolates were usually sensitive to ampicillin, sulphonamides, trimethoprim, and nitrofurantoin.

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“…It has been well established that treatment of ASB with antimicrobials has been associated with higher rates of resistance, reinfection, and significant collateral damage, including Clostridium difficileassociated disease, bacterial vaginosis, and vaginal candidiasis. 7,8,[61][62][63][64] The decision to order a urine culture should be guided by the presence or suspicion of symptoms related to UTI. 2 Several studies evaluating physicians attitudes toward practice recommendations indicate that up to two-thirds of clinicians are unaware of practice guidelines, perceive adopting the practice guidelines as a challenge to autonomy, have diminished confidence in the professional organization, are confused regarding the guidelines, and in some instances have a greater concern with the adverse outcomes associated with not prescribing an antimicrobial more than with the risk of downstream complications of inappropriate prescribing.…”

Section: Translational Barriers To the Application Of The Infectious mentioning

confidence: 99%