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
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
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