Pyuria and Asymptomatic Bacteriuria in Elderly Ambulatory Women
Authors: Jerome A. Boscia
Journal: Annals of Internal Medicine (1989)

Brief Reports1 March 1989Pyuria and Asymptomatic Bacteriuria in Elderly Ambulatory WomenJerome A. Boscia, MD, Elias Abrutyn, MD, Matthew E. Levison, MD, Peter G. Pitsakis, BS, Donald Kaye, MDJerome A. Boscia, MD, Elias Abrutyn, MD, Matthew E. Levison, MD, Peter G. Pitsakis, BS, Donald Kaye, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-5-404 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptBacteriuria is common in elderly persons (1-4) and is usually asymptomatic (5). In the absence of symptoms, pyuria is the only readily available way to differentiate urinary infection with inflammation from infection without inflammation (6). Greater than or equal to 102colony forming units (CFU) of a gram-negative bacillus/mL of urine is predictive of infection in young women with symptomatic lower urinary tract infection (7). Therefore 102to 104CFU of a gram-negative bacillus/mL should indicate infection in someone with asymptomatic bacteriuria. This study assessed the occurrence of pyuria and determined its relation with different levels of asymptomatic bacteriuria in...References1. Sourander L. Urinary tract infection in the aged: an epidemiological study. Annales Medicinae Internae Fenniae. 1966;55(Suppl 45):7-55. MedlineGoogle Scholar2. BrocklehurstDillaneGriffthsFry JJLJ. The prevalence and symptomatology of urinary infection in an aged population. Gerontol Clin (Basel). 1968;10:242-53. CrossrefMedlineGoogle Scholar3. AkhtarAndrewsCairdFallon AGFR. Urinary tract infection in the elderly: a population study. Age Ageing. 1972;1:48-54. CrossrefGoogle Scholar4. BosciaKobasaKnightAbrutynLevisonKaye JWREMD. Epidemiology of bacteriuria in an elderly population. Am J Med. 1986;80:208-14. CrossrefMedlineGoogle Scholar5. BosciaKobasaAbrutynLevisonKaplanKaye JWEMAD. Lack of association between bacteriuria and symptoms in the elderly. Am J Med. 1986;81:979-82. CrossrefMedlineGoogle Scholar6. Stamm W. Measurement of pyuria and its relation to bacteriuria. Am J Med. 1983;75(Suppl 1B):53-8. CrossrefMedlineGoogle Scholar7. StammCountsRunningFihnTurckHolmes WGKSMK. Diagnosis of coliform infection in acutely dysuric women. N Engl J Med. 1982;307:463-8. CrossrefMedlineGoogle Scholar8. NormanYamamuraYoshikawa DRT. Pyuria: its predictive value of asymptomatic bacteriuria in ambulatory elderly men. J Urol. 1986;135:520-2. CrossrefMedlineGoogle Scholar9. NicolleMayhewBryan LWL. Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women. Am J Med. 1987;83:27-33. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the Medical College of Pennsylvania, Philadelphia, Pennsylvania. 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