The acute urethral syndrome in routine practice.
Midstream samples of urine from 185 acutely dysuric women and 89 symptom-free controls were screened according to the modified criteria of Kass by both conventional and microaerophilic culture. Among the 185 symptomatic women, coliform bacilli were isolated from 125 (67.5%) and in 45 (36%) of the latter the concentration of these organisms in the urine was less than 10(8)/l. Fastidious organisms were isolated in pure and mixed cultures from 25 (13.4%) of the 185 patients and from 4 (4.5%) of 89 controls. Staphylococcus species were isolated from 10.8% (9.7% S. saprophyticus; 1.1% S. epidermidis) and Ureaplasma urealyticum from 2.7%. All patients infected with conventional organisms but only 30.4% of those yielding fastidious organisms had pyuria. The isolation rate of fastidious organisms tended to be higher (P = 0.055) in symptomatic women that in symptom-free controls.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D001419:Bacteria / Q000302:isolation & purification*; D001437:Bacteriuria / Q000382:microbiology*; D003352:Corynebacterium / Q000302:isolation & purification; D004755:Enterobacteriaceae / Q000302:isolation & purification; D005260:Female; D006194:Gardnerella vaginalis / Q000302:isolation & purification; D006801:Humans; D007778:Lactobacillus / Q000302:isolation & purification; D008875:Middle Aged; D009179:Mycoplasmatales / Q000302:isolation & purification; D013210:Staphylococcus / Q000302:isolation & purification; D013577:Syndrome; D014522:Urethral Diseases / Q000382:microbiology*; D014555:Urination Disorders / Q000382:microbiology*