Asymptomatic Bacteriuria in Schoolgirls.
- Author:
Sang Kon LEE
1
;
Kou Young YANG
;
Chan Jeoung PARK
;
Young Euy PARK
Author Information
1. Department of Urology and *Pathology, College of Medicine, Hallym University, College of Medicine, Chuncheon, Korea.
- Publication Type:Original Article
- Keywords:
asymptomatic bacteriuria;
schoolgirls
- MeSH:
Bacteriuria*;
Colon;
Double-Blind Method;
Female;
Humans;
Incidence;
Mucous Membrane;
Pyuria;
Trimethoprim;
Urinalysis;
Urinary Catheterization;
Urinary Catheters;
Urinary Tract;
Urinary Tract Infections;
Urine Specimen Collection
- From:Korean Journal of Urology
1987;28(5):645-652
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One thousand one hundred forty nine (1149) young women, 13-21 years of age, were examined by urinalysis and bacteriologic methods for the frequency and natural course of asymptomatic bacteriuria. Five percent (58/1149) of the women were found to have a significant bacteriuria, of which 58.6% (34/58) had a transient colonization in the urinary tract and another 41.4 % had a persistent bacteriuria. 66.7% (16/24) of recurrent bacteriuric subjects had gram negative rod bacilli. In 8.6%(5/58) of asymptomatic bacteriuric subjects, symptomatic urinary tract infection developed within 6 months. An incidence of pyuria in asymptomatic urinary tract infection is 80%, but a sensitivity of pyuria to bacteriuria was low in asymptomatic urinary tract infection. A predictive value for detection of asymptomatic bacteriuria by pyuria was 19%. With urine collection by urethral catheterization a chance of contamination can be diminished, but may not be eliminated a chance of contamination from urethral mucosa. Randomized double blind study showed that asymptomatic bacteriuria can be effectively controlled by daily single dose of trimethoprim sufamethoxazole for five days.
