Voided Midstream Urine Culture and Acute Cystitis in Premenopausal Women

Urinary tract infection in women is a very common outpatient clinical problem. This report defines the implications of microbiologic analysis of midstream urine cultures in premenopausal women with acute uncomplicated cystitis. Urinary tract infection is a bacterial infection that is encountered fre...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 369; no. 20; pp. 1883 - 1891
Main Authors Hooton, Thomas M, Roberts, Pacita L, Cox, Marsha E, Stapleton, Ann E
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 14.11.2013
Subjects
Acute Disease
Adolescent
Adult
Bacterial infections
Bacteriuria
Bacteriuria - diagnosis
Bacteriuria - microbiology
Bladder
Colonies
Colony Count, Microbial
Cystitis
Cystitis - microbiology
Diabetes mellitus
Enterococcus - isolation & purification
Escherichia coli
Escherichia coli - isolation & purification
Escherichia coli Infections - diagnosis
Excretory system
Female
Gram-positive bacteria
Humans
Infections
Microorganisms
Middle Aged
Older people
Predictive Value of Tests
Premenopause
Specimen Handling - methods
Streptococcus agalactiae - isolation & purification
Streptococcus infections
Urinalysis
Urinalysis - methods
Urinary Catheterization
Urine
Urine - microbiology
Urogenital system
Young Adult
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Summary:Urinary tract infection in women is a very common outpatient clinical problem. This report defines the implications of microbiologic analysis of midstream urine cultures in premenopausal women with acute uncomplicated cystitis. Urinary tract infection is a bacterial infection that is encountered frequently in outpatient settings in the United States, accounting for 8.6 million visits in 2007. 1 Half of all women report having had at least one urinary tract infection by 32 years of age. 2 The hallmark of such infections is the presence of bladder bacteriuria. Although a urine specimen collected by suprapubic aspiration or catheter is the reference for determining the microbial cause of infection, neither type of specimen is routinely obtained because of inconvenience, discomfort, and the potential for adverse events. Thus, when an examination of urine is indicated in . . .
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMoa1302186