The Treatment of Urinary Infection

McFadyen, I.; McCallum, May F.

doi:10.1111/j.1471-0528.1965.tb01381.x

Cited by 2 publications

(1 citation statement)

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“…This can cause error as urine teeming with bacteria may contain less than two leucocytes per high power field (Kass, 1956), or even none (Little, 1965). Assessment of the hourly leucocyte excretion rate is more informative (Kincaid-Smith, 1965 ;McFadyen and McCallum, 1965) but may be inaccurate in midstream specimens. Leucocytes, like bacteria, may enter the urine at the vulva and be a sign only of contamination.…”

Section: Discussionmentioning

confidence: 99%

Bacteriuria in Pregnancy

McFarkinson

Eykyn

Gardner

et al. 1973

BJOG

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Summary Bacteriuria (defined as the presence of organisms on culture in a specimen of urine obtained by suprapubic bladder aspiration) was found in 132 (6.6 per cent) out of 2000 pregnant women attending an antenatal clinic. Bacteriuria was more frequent in the lower than the upper social classes, but was not related to the patient's age, parity or ethnic group. In 5 out of 18 patients with bacterial counts of lo4 or less per ml., spontaneous clearance of bacteriuria occurred. Of 186 patients who had further samples of urine examined during pregnancy after having a sterile urine on booking, only one developed a persistent infection de novo. Seventy‐nine of the original 2000 patients were seen in a second pregnancy. Twelve of these patients were infected (and treated) in the first pregnancy and 5 of them had bacteriuria in the second pregnancy; the other 67 patients had sterile urine in the first pregnancy and one of these had bacteriuria in a second pregnancy. Thirty per cent of the patients with bacteriuria had symptoms which were usually associated with urinary infection when they were first seen, but so did 25 per cent of the uninfected control patients. Neither bacteriuria nor recurrence of infection after treatment could be diagnosed by symptoms. Only 34 per cent of patients with symptoms after treatment had recurrent infection, and of those who did have recurrent infection 27 per cent had symptoms.

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Section: Discussionmentioning

confidence: 99%