Evidence of Uncultivated Bacteria in the Adult Female Bladder

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Published inJournal of Clinical Microbiology Vol. 50; no. 4; pp. 1376 - 1383
Main Authors Wolfe, Alan J., Toh, Evelyn, Shibata, Noriko, Rong, Ruichen, Kenton, Kimberly, FitzGerald, MaryPat, Mueller, Elizabeth R., Schreckenberger, Paul, Dong, Qunfeng, Nelson, David E., Brubaker, Linda
Format Journal Article
LanguageEnglish
Published Washington, DC American Society for Microbiology 01.04.2012
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Online AccessGet full text
ISSN0095-1137
1098-660X
1098-660X
DOI10.1128/JCM.05852-11

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Abstract Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology.   For an alternate route to JCM .asm.org, visit: JCM       
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Clinical urine specimens are usually considered to be sterile when they do not yield uropathogens using standard clinical cultivation procedures. Our aim was to test if the adult female bladder might contain bacteria that are not identified by these routine procedures. An additional aim was to identify and recommend the appropriate urine collection method for the study of bacterial communities in the female bladder. Consenting participants who were free of known urinary tract infection provided urine samples by voided, transurethral, and/or suprapubic collection methods. The presence of bacteria in these samples was assessed by bacterial culture, light microscopy, and 16S rRNA gene sequencing. Bacteria that are not or cannot be routinely cultivated (hereinafter called uncultivated bacteria) were common in voided urine, urine collected by transurethral catheter (TUC), and urine collected by suprapubic aspirate (SPA), regardless of whether the subjects had urinary symptoms. Voided urine samples contained mixtures of urinary and genital tract bacteria. Communities identified in parallel urine samples collected by TUC and SPA were similar. Uncultivated bacteria are clearly present in the bladders of some women. It remains unclear if these bacteria are viable and/or if their presence is relevant to idiopathic urinary tract conditions.
Clinical urine specimens are usually considered to be sterile when they do not yield uropathogens using standard clinical cultivation procedures. Our aim was to test if the adult female bladder might contain bacteria that are not identified by these routine procedures. An additional aim was to identify and recommend the appropriate urine collection method for the study of bacterial communities in the female bladder. Consenting participants who were free of known urinary tract infection provided urine samples by voided, transurethral, and/or suprapubic collection methods. The presence of bacteria in these samples was assessed by bacterial culture, light microscopy, and 16S rRNA gene sequencing. Bacteria that are not or cannot be routinely cultivated (hereinafter called uncultivated bacteria) were common in voided urine, urine collected by transurethral catheter (TUC), and urine collected by suprapubic aspirate (SPA), regardless of whether the subjects had urinary symptoms. Voided urine samples contained mixtures of urinary and genital tract bacteria. Communities identified in parallel urine samples collected by TUC and SPA were similar. Uncultivated bacteria are clearly present in the bladders of some women. It remains unclear if these bacteria are viable and/or if their presence is relevant to idiopathic urinary tract conditions.Clinical urine specimens are usually considered to be sterile when they do not yield uropathogens using standard clinical cultivation procedures. Our aim was to test if the adult female bladder might contain bacteria that are not identified by these routine procedures. An additional aim was to identify and recommend the appropriate urine collection method for the study of bacterial communities in the female bladder. Consenting participants who were free of known urinary tract infection provided urine samples by voided, transurethral, and/or suprapubic collection methods. The presence of bacteria in these samples was assessed by bacterial culture, light microscopy, and 16S rRNA gene sequencing. Bacteria that are not or cannot be routinely cultivated (hereinafter called uncultivated bacteria) were common in voided urine, urine collected by transurethral catheter (TUC), and urine collected by suprapubic aspirate (SPA), regardless of whether the subjects had urinary symptoms. Voided urine samples contained mixtures of urinary and genital tract bacteria. Communities identified in parallel urine samples collected by TUC and SPA were similar. Uncultivated bacteria are clearly present in the bladders of some women. It remains unclear if these bacteria are viable and/or if their presence is relevant to idiopathic urinary tract conditions.
Author Ruichen Rong
MaryPat FitzGerald
Alan J. Wolfe
Paul Schreckenberger
Elizabeth R. Mueller
Linda Brubaker
Qunfeng Dong
David E. Nelson
Evelyn Toh
Kimberly Kenton
Noriko Shibata
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  organization: Indiana University, Bloomington, Indiana, USA
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  fullname: Shibata, Noriko
  organization: Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA
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  surname: Rong
  fullname: Rong, Ruichen
  organization: University of North Texas, Denton, Texas, USA
– sequence: 5
  givenname: Kimberly
  surname: Kenton
  fullname: Kenton, Kimberly
  organization: Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA
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  surname: Mueller
  fullname: Mueller, Elizabeth R.
  organization: Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA
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  surname: Schreckenberger
  fullname: Schreckenberger, Paul
  organization: Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA
– sequence: 9
  givenname: Qunfeng
  surname: Dong
  fullname: Dong, Qunfeng
  organization: University of North Texas, Denton, Texas, USA
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  givenname: David E.
  surname: Nelson
  fullname: Nelson, David E.
  organization: Indiana University, Bloomington, Indiana, USA
– sequence: 11
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  fullname: Brubaker, Linda
  organization: Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA
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https://www.ncbi.nlm.nih.gov/pubmed/22278835$$D View this record in MEDLINE/PubMed
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CODEN JCMIDW
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Clinical urine specimens are usually considered to be sterile when they do not yield uropathogens using standard clinical cultivation procedures. Our aim was...
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SubjectTerms Bacteria - genetics
Bacteriology
Bacteriuria - microbiology
Biological and medical sciences
DNA, Bacterial - genetics
DNA, Bacterial - isolation & purification
Female
Fundamental and applied biological sciences. Psychology
Humans
Metagenome - genetics
Microbiology
Miscellaneous
Molecular Typing
Principal Component Analysis
RNA, Ribosomal, 16S - genetics
RNA, Ribosomal, 16S - isolation & purification
Sequence Analysis, DNA
Skin - microbiology
Urinary Bladder - microbiology
Urine - microbiology
Title Evidence of Uncultivated Bacteria in the Adult Female Bladder
URI http://jcm.asm.org/content/50/4/1376.abstract
https://www.ncbi.nlm.nih.gov/pubmed/22278835
https://www.proquest.com/docview/929121704
https://pubmed.ncbi.nlm.nih.gov/PMC3318548
Volume 50
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