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Staphylococci as urinary pathogens

L Pead, J Crump, R Maskell

    Journal of Clinical Pathology
    |May 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Novobiocin-resistant micrococci are a common cause of urinary tract infections in young women, but not typically found in their normal flora. Recurrences are usually due to different organisms.

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    Area of Science:

    • Microbiology
    • Urology
    • Infectious Diseases

    Background:

    • Staphylococci are significant causes of urinary tract infections (UTIs).
    • Novobiocin-resistant micrococci are increasingly recognized as urinary pathogens, particularly in young women.
    • The source of these infections remains unclear, with fecal contamination being a suspected but not fully confirmed route.

    Purpose of the Study:

    • To determine the prevalence and characteristics of staphylococcal UTIs.
    • To investigate potential sources of novobiocin-resistant micrococcal UTIs.
    • To assess treatment response and recurrence patterns for these infections.

    Main Methods:

    • Typing of 382 staphylococcal strains from urine specimens using the Baird-Parker method.
    • Analysis of Staphylococcus aureus and novobiocin-resistant micrococcal isolates.

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  • Investigation of the normal flora (throat, urinary tract, vagina) in young women to identify micrococcal carriage.
  • Review of laboratory records for treatment response and recurrence data.

    • Main Results:

    • Staphylococcus aureus accounted for 16% of staphylococcal UTIs.
    • Novobiocin-resistant micrococcal infections were prevalent in young women and children, not limited to specific strains.
    • Novobiocin-resistant micrococci were rarely found in the normal flora of young women.
    • Micrococci were confirmed as the second most common urinary pathogens in young women.
    • Infections showed good response to treatment, with recurrences often caused by different organisms.

    Conclusions:

    • Novobiocin-resistant micrococci are significant urinary pathogens, especially in young women.
    • The normal flora is an unlikely primary source for these infections.
    • Effective treatment is available, and recurrence is often linked to reinfection with a different pathogen.