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Urinary tract infection in general practice.

B A Peddie, P J Little, A R Sincock

    The New Zealand Medical Journal
    |October 25, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    Symptoms suggesting urinary tract infection (UTI) are unreliable indicators of bacteriuria. Escherichia coli was the most common pathogen, and reinfection was common within 30 days.

    Area of Science:

    • Urology
    • Infectious Diseases
    • Microbiology

    Background:

    • Urinary tract infections (UTIs) are common, particularly in women.
    • Accurate diagnosis of UTIs relies on identifying bacteriuria.
    • Clinical symptoms alone are often insufficient for diagnosing UTIs.

    Purpose of the Study:

    • To evaluate the reliability of UTI symptoms in diagnosing bacteriuria.
    • To identify common uropathogens and their antibiotic sensitivities.
    • To assess the rate of recurrent UTIs.

    Main Methods:

    • Analysis of midstream urine samples from 616 patients presenting with UTI symptoms.
    • Bacteriological culture and cell concentration measurements.
    • Follow-up assessment of infection status over 30 days.

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    Main Results:

    • None of the presenting symptoms reliably indicated bacteriuria.
    • Escherichia coli was the predominant uropathogen (71.3%).
    • Recurrent infections were observed in 25.6% of initially infected patients within 30 days.

    Conclusions:

    • Clinical presentation is an unreliable diagnostic tool for UTIs.
    • Effective antibiotic treatment is achievable given organism sensitivities.
    • Close monitoring is necessary due to the high rate of recurrent infections.