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Inclusion criteria for acute uncomplicated cystitis
1Dept. of Urology, Gifu University School of Medicine, Japan.
Infection
|January 1, 1992
Summary
Recurrence of acute uncomplicated cystitis is linked to postmenopausal status and higher patient age. Urine culture methods significantly impact detecting uropathogens, especially at lower bacterial counts.
Area of Science:
- Urology
- Infectious Diseases
- Clinical Microbiology
Background:
- Acute uncomplicated cystitis affects many women, with recurrence being a significant concern.
- Understanding factors influencing recurrence and accurate diagnosis is crucial for effective management.
Purpose of the Study:
- To analyze inclusion criteria for acute uncomplicated cystitis studies.
- To identify factors associated with recurrence and optimize diagnostic methods.
Main Methods:
- Retrospective analysis of 307 patients with acute uncomplicated cystitis.
- Comparison of recurrence rates based on age and menopausal status.
- Evaluation of urine collection methods (catheterization, clean-catch, midstream) and their impact on pathogen detection.
Main Results:
- Recurrence was exclusively observed in postmenopausal patients.
- The mean age of patients with recurrence was significantly higher than in the non-recurrence group.
- Low incidence of uropathogens was noted with conventional midstream urine collection, even with bacteriuria up to 10(4) CFU/ml.
Conclusions:
- Age and menopausal status are critical factors for studying cystitis recurrence.
- Catheterization or careful clean-catch methods are recommended for accurate urine culture, particularly for lower bacterial loads (10^3-10^4 CFU/ml).