4-Fluoroquinolones and Lactobacillus spp as emerging pathogens.
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Biomedical subjects
Publications and source records attributed to R Maskell.
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The criterion enunciated by Kass for interpreting the quantitative examination of urine is critically reappraised. The role of organisms other than those of the aerobic bowel flora, especially fastidious organisms, in urinary tract infections is discussed in detail. Clinical microbiologists are urged to pay more attention to the bacteriological examination of urine and to play a greater part in the diagnosis and treatment of infections of the urinary tract and its adjacent structures.
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In a 1-year laboratory-based study the validity of certain findings on microscopy and culture of mid-stream urine specimens as predictive of the presence of structural or functional abnormalities of the urinary tract was tested. During 1986, infection was diagnosed in 12,705 specimens sent to the laboratory by general practitioners; in the light of the findings a comment suggesting the possibility of underlying urinary tract pathology was appended to the reports of specimens from 652 patients. Data were available from the investigation of 233 of these patients. The percentage in whom abnormalities were detected considerably exceeded that reported from studies of bacteriuric children and of adult women with symptoms. It is suggested that the use of these criteria may assist clinicians to select, from the very large number of patients who suffer from urinary tract infection, those who require investigation.
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