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The Journal
Background
Methods
Study Population
Inclusion criteria
Women : (18-49 years), in good general health
Typical symptoms of cystitis (dysuria and urinary
frequency or urgency) for 7 days or less
Exclusion criteria
Study Procedures
All participants underwent a physical examination and
were interviewed with the use of a standardized
questionnaire.
After clenaning with 2% castile soap towelettes
participants were instructed to obtain a clean-catch
midstream urine specimen.
Laboratory Procedures
Outcome Measure
Statistical Analysis
Two-way tables were constructed to compare the
presence and quantity of organisms in the specimens of
midstream urine with those in the specimens of catheter
urine.
Results
Study participants
Discussion
The strengths of this study are the number of wellcharacterized participants with the clinical presentation
of cystitis and the detailed microbiologic analysis of
specimens of midstream urine and catheter urine with
quantification of organisms to 10 CFU per milliliter.
Conclusion
The data from this study reinforce the view that cultures
of midstream urine generally are not indicated in the
treatment of healthy premenopausal women with
presumptive cystitis.
If treatment of suspected cystitis is to be delayed
pending the results of midstream urine culture, one
should consider asking the laboratory to quantify
E. Coli to 10 2 CFU per milliliter to improve sensitivity.
THANK YOU
Developing cystitis
A tube called a urinary catheter inserted in your bladder
Blockage of the bladder or urethra
Diabetes
Enlarged prostate, narrowed urethra, or anything that blocks
the flow of urine
Loss of bowel control (bowel incontinence)
Older age (especially in people who live in nursing homes)
Pregnancy
Problems fully emptying your bladder (urinary retention)
Procedures that involve the urinary tract
Staying still (immobile) for a long period of time (for example,
when you are recovering from a hip fracture