A SCREENING METHOD FOR THE EVALUATION OF URINARY TRACT INFECTIONS IN FEMALE PATIENTS WITHOUT CATHETERIZATION
Authors: B R BOSHELL, J P SANFORD
Journal: Annals of Internal Medicine (1958)

Article1 May 1958A SCREENING METHOD FOR THE EVALUATION OF URINARY TRACT INFECTIONS IN FEMALE PATIENTS WITHOUT CATHETERIZATIONBURIS R. BOSHELL, M.D., JAY P. SANFORD, M.D.BURIS R. BOSHELL, M.D., JAY P. SANFORD, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-5-1040 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptEarly, accurate diagnosis and adequate therapy are important in the management of urinary tract infections,1, 2, 3, 4which often progress to chronic pyelonephritis, with the development of uremia or hypertension in the later stages. Minor symptoms or minimal pyuria is often the only clinical finding in the presence of serious infection.1, 2, 3Bacteriologic evaluation of patients with seemingly insignificant symptoms is thus important, if it can be done without hazard. The commonly accepted technic for obtaining urine for culture from female patients involves the use of bladder catheterization. It has been widely appreciated that catheterization per se carries...Bibliography1. Marple CD: The frequency and character of urinary tract infections in an unselected group of women, Ann. Int. Med. 14: 2220-2239, 1940-41. Google Scholar2. Leischman AW: Bacillus coli infection of the urinary tract; its relation to bowel function, Lancet 2: 971-973, 1939. CrossrefGoogle Scholar3. RhoadsBillingsO'Connor PSCEVJ: Antibacterial management of urinary tract infections, J. A. M. A. 148: 165-170, 1952. CrossrefMedlineGoogle Scholar4. O'ConnorRhoads VJPS: The management of urinary tract infections in elderly patients, J. Am. Geriat. Soc. 1: 355-361, 1953. CrossrefMedlineGoogle Scholar5. Kass EH: Chemotherapeutic and antibiotic drugs in the management of infections of the urinary tract, Am. J. Med. 18: 764-781, 1955. CrossrefMedlineGoogle Scholar6. SanfordFavourMaoHarrison JPCBFHJH: Evaluation of the "positive" urine culture: an approach to the differentiation of significant bacteria from contaminants, Am. J. Med. 20: 88-93, 1956. CrossrefMedlineGoogle Scholar7. GuzeBeeson LBPB: Observations on the reliability and safety of bladder catheterization for bacteriologic study of the urine, New England J. Med. 255: 474-475, 1956. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication March 27, 1957.From the Department of Medicine, Peter Bent Brigham Hospital, and Harvard Medical School, Boston, Massachusetts.†Supported by the Fund for Research in Bacteriology of the Peter Bent Brigham Hospital.‡Research Fellow in Medicine, Harvard Medical School, and Junior Associate in Medicine, Peter Bent Brigham Hospital.Recipient of a Fellowship from The American College of Physicians, Philadelphia, Pennsylvania.§Research Fellow in Medicine, Harvard Medical School, and Assistant in Medicine, Peter Bent Brigham Hospital.Work completed during the tenure of a post-doctorate Fellowship of the National Institutes of Health, Bethesda, Maryland.Requests for reprints should be addressed to Buris R. Boshell, M.D., Peter Bent Brigham Hospital, 721 Huntington Avenue, Boston 15, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBest methods for urine sample collection for diagnostic accuracy in women with urinary tract infection symptoms: a systematic reviewMidstream clean-catch urine collection in newborns: a randomized controlled studyComparison of Sampling Methods for Urine CulturesTo Clean or Not to Clean: Effect on Contamination Rates in Midstream Urine Collections in Toilet-Trained ChildrenA comparative study on bacterial cultures of urine samples obtained by clean-void technique versus urethral catheterization¿Es importante la técnica de recogida de la orina para evitar la contaminación de las muestras?Office laboratory procedures, office economics, parenting and parent education, and urinary tract infectionSquamous Cells as Predictors of Bacterial Contamination in Urine SamplesA tribute to Edward Kass his work on the epidemiology of urinary tract infectionsUrine sampling in ambulatory women: Midstream clean-catch versus catheterizationBacterial contamination rates in voided urine collections in girlsBacterial contamination rates for non-clean-catch and clean-catch midstream urine collections in boysUrinalysisMicrobiologic StudiesSingle-dose antibiotic therapy of urinary tract infection: Is it appropriate in the emergency department?Quantitative definition of bacteriuriaThe myth of the clean catch urine specimenSimplified microscopy for rapid detection of significant bacteriuria in random urine specimensBacteriuria and pyelonephritis, diagnosis and treatmentCatheterization, delivery, and puerperal bacteriuriaA simplified accurate method for detecting bacteriuriaPyelonephritis und chronische interstitielle NephritisKlinische Methoden der morphologischen und funktionellen NierendiagnostikLABORATORY STUDIES ON THE AGING KIDNEYIatrogenic bacteriuria and gynecologic surgeryQuantitative Bacterial Culture of UrineThe incidence of asymptomatic bacteriuria and pyuria in infancyThe Development and Character of Bacteriuria in Pregnancy Experience with a Nonindigent PopulationARNOLD S. MONTO, M.D., LOWELL A. RANTZ, M.D., F.A.C.P.THE COLLECTION AND ASSESSMENT OP MID‐STREAM URINE SAMPLES IN THE DIAGNOSIS OF URINARY TRACT INFECTION IN WOMENA Simplified Procedure for Performing Urinary Bacterial Counts"ASYMPTOMATIC" BACTERIURIA IN FEMALE PATIENTS IN THE MEDICAL WARD1BACILLURIA IN PREGNANCYA Simplified Method for the Quantitative Bacterial Culture of UrineEpidemiology of Urinary-Tract InfectionsThe Mismanagement of the Urethral CatheterTHE CARDIORESPIRATORY SYNDROME OF EXTREME OBESITY"CLEAN" VERSUS CATHETER SPECIMENS OF URINE 1 May 1958Volume 48, Issue 5Page: 1040-1045KeywordsBacteriologyBladderCatheterizationFellowshipsHospital medicineHypertensionPyelonephritisResearch fundingUrinary tract infectionsUrine ePublished: 1 December 2008 Issue Published: 1 May 1958 PDF downloadLoading ...