LABORATORY IN THE DIAGNOSIS AND MANAGEMENT OF URINARY-TRACT INFECTIONS

被引：85

作者：

PAPPAS, PG

机构：

[1] University of Alabama, School of Medicine, University Station, Birmingham

来源：

MEDICAL CLINICS OF NORTH AMERICA | 1991年 / 75卷 / 02期

关键词：

D O I：

10.1016/S0025-7125(16)30456-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The presence of significant pyuria (≥ 8-10 leukocytes/mm3) is one of the most important indicators of a urinary tract infection. Pyuria can be determined by direct microscopy, hemocytometry, or a rapid diagnostic assay. The determination of bacteriuria as measured by microscopy or rapid detection methods is a less reliable indicator of infection. Quantitative urine cultures are the best measure of bacteriuria, and significant growth may be as low as 102 CFU/ml for women with acute dysuria as opposed to the old standard of ≥ 105 CFU/ml. This article reviews the utility of these and other tests in the diagnosis, localization, and management of urinary tract infections.

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页码：313 / 325

页数：13

相关论文

共 58 条

[11] REVIEW OF URINE MICROSCOPY FOR BACTERIURIA [J].

JENKINS, RD ;

FENN, JP ;

MATSEN, JM .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 255 (24) :3397-3403

[12]

Johnson J R, 1987, Infect Dis Clin North Am, V1, P773

[13] URINARY-TRACT INFECTIONS IN WOMEN - DIAGNOSIS AND TREATMENT [J].

JOHNSON, JR ;

STAMM, WE .

ANNALS OF INTERNAL MEDICINE, 1989, 111 (11) :906-917

[14] INABILITY OF THE CHEMSTRIP LN COMPARED WITH QUANTITATIVE URINE CULTURE TO PREDICT SIGNIFICANT BACTERIURIA [J].

JONES, C ;

MACPHERSON, DW ;

STEVENS, DL .

JOURNAL OF CLINICAL MICROBIOLOGY, 1986, 23 (01) :160-162

[15] LOCALIZATION OF URINARY-TRACT INFECTIONS BY DETECTION OF ANTIBODY-COATED BACTERIA IN URINE SEDIMENT [J].

JONES, SR ;

SMITH, JW ;

SANFORD, JP .

NEW ENGLAND JOURNAL OF MEDICINE, 1974, 290 (11) :591-593

[16]

KASS EH, 1956, T ASSOC AM PHYSICIAN, V69, P56

[17] BACTERIURIA AND THE DIAGNOSIS OF INFECTIONS OF THE URINARY TRACT - WITH OBSERVATIONS ON THE USE OF METHIONINE AS A URINARY ANTISEPTIC [J].

KASS, EH .

ARCHIVES OF INTERNAL MEDICINE, 1957, 100 (05) :709-714

[18] CLINICAL RELEVANCE OF CULTURE VERSUS SCREENS FOR THE DETECTION OF MICROBIAL PATHOGENS IN URINE SPECIMENS [J].

KELLOGG, JA ;

MANZELLA, JP ;

SHAFFER, SN ;

SCHWARTZ, BB .

AMERICAN JOURNAL OF MEDICINE, 1987, 83 (04) :739-745

[19] BIOLUMINESCENCE SCREENING FOR BACTERIURIA [J].

KOLBECK, JC ;

PADGETT, RA ;

ESTEVEZ, EG ;

HARRELL, LJ .

JOURNAL OF CLINICAL MICROBIOLOGY, 1985, 21 (04) :527-530

[20] URINALYSIS AND URINE CULTURE IN WOMEN WITH DYSURIA [J].

KOMAROFF, AL .

ANNALS OF INTERNAL MEDICINE, 1986, 104 (02) :212-218

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