Cited by 760Urinary Tract Infections ManagementUrinary Bladder and Prostate ResearchPediatric Urology and Nephrology Studies

The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

Diagnosis of Coliform Infection in Acutely Dysuric Women

Stamm, Walter E., Counts, George W., Running, Katherine R., Fihn, Stephen, Turck, Marvin, Holmes, King K.·1982·New England Journal of Medicine

DOI 10.1056/nejm198208193070802

Open this paper in CoChat — free account

Abstract

We reevaluated conventional criteria for diagnosing coliform infection of the lower urinary tract in symptomatic women by obtaining cultures of the urethra, vagina, midstream urine, and bladder urine. The traditional diagnostic criterion, greater than or equal to 10(5) bacteria per milliliter of midstream urine, identified only 51 per cent of women whose bladder urine contained coliformis. We found the best diagnostic criterion to be greater than or equal to 10(2) bacteria per milliliter (sensitivity, 0.95; specificity, 0.85). Although isolation of less than 10(5) coliforms per milliliter of midstream urine has had a low predictive value of previous studies of asymptomatic women, the predictive value of the criterion of greater than or equal to 10(2) per milliliter was high (0.88) among symptomatic women the prevalence of coliform infection exceeded 50 per cent. In view of these findings, clinicians and microbiologists should alter their approach to the diagnosis and treatment of women with acute symptomatic coliform infection of the lower urinary tract.

Integrity signals

Registry

Crossref · 10.1056/nejm198208193070802

Cites

17 of 17 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Identification of Enterobacteriaceae.
Edwards, P. R., & Ewing, W. H. (1972) · Andalas University Repository (Andalas University) · Cited by 2,019
Bacteriuria and the Diagnosis of Infections of the Urinary Tract: With Observations on the Use of Methionine as a Urinary Antiseptic
KASS, E. H. (1957) · A.M.A. Archives of Internal Medicine · doi:10.1001/archinte.1957.00260110025004 · Cited by 678
Causes of the Acute Urethral Syndrome in Women
Stamm, W. E., Wagner, K. F., Amsel, R., Alexander, E. R., Turck, M., Counts, G. W., & Holmes, K. K. (1980) · New England Journal of Medicine · doi:10.1056/nejm198008213030801 · Cited by 481
Self-citation
Chemotherapeutic and antibiotic drugs in the management of infections of the urinary tract
Kass, E. H. (1955) · The American Journal of Medicine · doi:10.1016/0002-9343(55)90190-x · Cited by 380
The Role of Vaginal Colonization with Enterobacteriaceae in Recurrent Urinary Infections
Stamey, T. A., & Sexton, C. C. (1975) · The Journal of Urology · doi:10.1016/s0022-5347(17)59447-1 · Cited by 246
Acute Infections of the Urinary Tract and the Urethral Syndrome in General Practice
Gallagher, D. J. A., Montgomerie, J. Z., & North, J. D. K. (1965) · BMJ · doi:10.1136/bmj.1.5435.622 · Cited by 237
PRESENTATION, DIAGNOSIS, AND TREATMENT OF URINARY-TRACT INFECTIONS IN GENERAL PRACTICE
Mond, N. C., Percival, A., Williams, J. D., & Brumfitt, W. (1965) · The Lancet · doi:10.1016/s0140-6736(65)92020-9 · Cited by 173
Antimicrobial Prophylaxis of Recurrent Urinary Tract Infections
Stamm, W. E., COUNTS, G. W., WAGNER, K. F., MARTIN, D., GREGORY, D., McKEVITT, M., TURCK, M., & HOLMES, K. K. (1980) · Annals of Internal Medicine · doi:10.7326/0003-4819-92-6-770 · Cited by 164
Self-citation
A Controlled Study of Antimicrobial Prophylaxis of Recurrent Urinary Infection in Women
Harding, G. K. M., & Ronald, A. (1974) · New England Journal of Medicine · doi:10.1056/nejm197409192911203 · Cited by 141
Microtest procedure for isolation of Chlamydia trachomatis
Yoder, B. L., Stamm, W. E., Koester, C. M., & Alexander, E. R. (1981) · Journal of Clinical Microbiology · doi:10.1128/jcm.13.6.1036-1039.1981 · Cited by 123
Self-citation

Show all 17 references

Research works printed but not linked: 3

Kass, 1956, Trans Assoc Am Physicians, 69, 56
Griner, 1981, Ann Intern Med, 94, 553
Stamey, 1971, Calif Med, 115, 1

Sorted by citations

Items 701–758 of 758

A Review of Common Methods Used to Exclude Infection in Patients with Lower Urinary Tract Symptoms
Gill, K. (2017) · Experimental Techniques in Urology & Nephrology · doi:10.31031/etun.2017.01.000505
The role of bacterial infection in the aetiology of the overactive bladder
Khasriya, R. (2012) · UCL Discovery (University College London)
Therapy of Urinary Tract Infection
TOLKOFF-RUBIN, N. E., & Rubin, R. H. (2008) · Elsevier eBooks · doi:10.1016/b978-141605484-9.50039-3
Cystitis and urethral syndromes
Chambers, S. T. (2010) · Elsevier eBooks · doi:10.1016/b978-0-323-04579-7.00053-8
Study of females urinary tract infection in AL-Samawa city
Al-Zawidy, A. A. N. (2008) · Al-Qadisiyah Journal of Veterinary Medicine Sciences
Gebeliğe Bağlı Hidronefrozun Değerlendirilmesi? Üreteral J Stent Erken Doğumu Tetikler Mi?
Turgut, H. B., & Aydın, H. R. (2021) · Yeni Üroloji Dergisi · doi:10.33719/yud.747402
The Impact of Recurrent Urinary Tract Infections on Sexual Function
Baines, G., & Davis, C. (2021) · Springer eBooks · doi:10.1007/978-3-030-63843-6_6
Avaliação do desempenho do teste rápido de urina no diagnóstico da infeção urinária em idade pediátrica
Cassamo, S., Ribeiro, M., Carneiro, L. D. S., Castanhinha, S., & Sá, G. A. E. (2021) · Revista Portuguesa de Clínica Geral · doi:10.32385/rpmgf.v37i1.12795
Investigation of Biofilm Development by Antibiotic Resistant Urinary Tract Infection Pathogens and Evaluation of the Antimicrobial Activity of Natural Products on Carbapenem-Resistant Escherichia coli IMP and Klebsiella pneumoniae NDM-1.
AL-Bayati, M. A. (2020) · DMU Open Research Archive (De Montfort University)
The Case of Pyelonephritis and Renal Cyst Infection Diagnosed by Diffusion-Weighted Magnetic Resonance Imaging
Adachi (2014) · World Journal of Nephrology and Urology · doi:10.14740/wjnu170e
Impact of Male Patient Information on Quality of Urine Examination (PIQUE Study)
Spachmann, P., Rupp, C., Fritsche, H., Denzinger, S., Burger, M., Breyer, J., Otto, W., & Schnabel, M. J. (2021) · Urologia Internationalis · doi:10.1159/000517783
85 vuotta täyttäneiden virtsatieinfektio
Heinämäki, P. (2000) · Tampere University Institutional Repository (Tampere University)
Bacteriuria
Pels, R. J., Bor, D. H., Woolhandler, S. J., Himmelstein, D. U., & Lawrence, R. S. (1990) · Frontiers of primary care · doi:10.1007/978-1-4612-3280-3_38
SELF-MEDICATION FOR RECURRENT URINARY INFECTION?
(1985) · The Lancet · doi:10.1016/s0140-6736(85)92871-5
Maternal Infections, Human Immunodeficiency Virus Infection, and Sexually Transmitted Diseases in Pregnancy
Sweet, R. L., & MINKOFF, H. L. (2007) · Wiley eBooks · doi:10.1002/9780470753293.ch50
Epidemiologie
Bauer, H. W. (1999) · Springer eBooks · doi:10.1007/978-3-642-59883-8_1
Response
Goldening, J. (1988) · Journal of Adolescent Health Care · doi:10.1016/0197-0070(88)90267-7
Initial Processing for Cultures of Specimens
Washington, J. A. (1985) · Springer eBooks · doi:10.1007/978-1-4612-5070-8_3
Maternal and Perinatal Infection in Pregnancy
Duff, P., & Birsner, M. L. (2017) · Elsevier eBooks · doi:10.1016/b978-0-323-32108-2.00054-8
Pijnlijke mictie
Platteel, T. N., & de Reijke, T. M. (2021) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2620-4_39
Urologische Laboruntersuchungen
Williams, R. D. (1992) · Springer eBooks · doi:10.1007/978-3-642-76107-2_5
The Antimicrobial Defense Mechanism of the Female Urethra:
Kunin, C. M., Evans, C. D., Bartholomew, D. A., & Bates, D. G. (2002) · The Journal of Urology · doi:10.1097/00005392-200208000-00003
Is screening for bacteriuria in pregnancy worth while?
Smith, G. W. (1987) · BMJ · doi:10.1136/bmj.295.6600.725-c
Reply by Author
(1993) · The Journal of Urology · doi:10.1016/s0022-5347(17)35440-x
Urinary Tract and Genitourinary Suppurative Infections
(2007) · Infectious disease and therapy · doi:10.3109/9780849382581.023
Leukocyte esterase-nitrite and bioluminescence assays as urine screens
(1986) · Clinical Microbiology Newsletter · doi:10.1016/0196-4399(86)90046-2
Asymptomatic Bacteriuria
Johnson, J. R. (2018) · Clinical Infectious Diseases · doi:10.1093/cid/cix1146
Mictie, pijnlijke
Eekhof, H., de Reijke, T. M., & Grundmeijer, H. G. L. M. (2016) · Kernboek · doi:10.1007/978-90-368-1274-0_38
The foundation of the British Museum
(2005) · BMJ · doi:10.1136/bmj.331.7509.146
Microbiologic Studies
Pancoast, P. E., & McCabe, J. B. (1986) · Emergency Medicine Clinics of North America · doi:10.1016/s0733-8627(20)31004-x
Profile of urinary tract infection in diabetic patients. Data from a general hospital at Jammu and Kashmir, India
IJAR, & Naqash, H. (2016) · International Journal of Advanced Research · doi:10.21474/ijar01/174
Prevalência de agentes e perfil de sensibilidade em uroculturas de mulheres atendidas em hospital público no Brasil / Agent prevalence and sensitivity profile in urocultures of women attended in a public hospital in Brazil
Rohde, T. D. S., de Carvalho, N. S., & Vianna, M. C. (2022) · Brazilian Journal of Health Review · doi:10.34119/bjhrv5n2-219
Aerobic Bacteriology
(2010) · doi:10.1128/9781555817435.ch3
Evaluation von prädisponierenden und protektiven Faktoren zur Entstehung von fieberhaften Harnwegsinfekten bei DJ-Katheter-Dauerversorgung
Fountoukas, S. (2022) · doi:10.21248/gups.72201
The Investigation of Relation Between Pyuria and Bacteriuria in Symptomatic and Asymptomatic Urinary Tract Infections of Women
Baysallar, M., Kısa, Ö., BAŞUSTAOĞLU, A. C., & Gün, H. (1994) · European Journal of Therapeutics · doi:10.58600/eurjther.1994-5-2-1052-arch
Non-Antibiotic Herbal Therapy (BNO 1045) versus Antibiotic Therapy (Fosfomycin Trometamol) for the Treatment of Acute Lower Uncomplicated Urinary Tract Infections in Women: A Double-Blind, Parallel-Group, Randomized, Multicentre, Non-Inferiority Phase III
Wagenlehner, F. R. A., Abramov-Sommariva, D., Höller, M., Steindl, H., & Naber, K. G. (2019) · Health of Man · doi:10.30841/2307-5090.1.2019.172494
Características clínicas y epidemiológicas de infección del tracto urinario por escherichia coli blee en pacientes mujeres del Hospital Militar Central durante el periodo agosto 2017 - agosto 2019
Marmol, L. E. R. (2021) · Universidad Privada San Juan Bautista · doi:10.59590/upsjb/fcs.med.hum/tesis/3160
Treatment and Prevention of Recurrent Urinary Tract Infections for the Obstetrician/Gynecologist
Shinnick, J. K., & Korbly, N. B. (2023) · Topics in Obstetrics & Gynecology · doi:10.1097/01.pgo.0000920232.40375.8b
Expression of mechano-growth factor (MGF) in refractory overactive bladderPreprint
Spiritosanto, E., Lemmon, B., Mohamedi-Yousufi, F., Munasinghe, H., Mahmood, A., Bray, R., Mackenzie, F. E., Hill, N. J., & Cortes, E. (2023) · medRxiv · doi:10.1101/2023.12.08.23299594
A Practical Guideline on Sampling and Analysis of Urine and Blood Specimens in Urinary Tract Infections
Cai, T., & Johansen, T. E. B. (2024) · Springer eBooks · doi:10.1007/978-3-319-92366-6_3
Acute Uncomplicated and Complicated Cystitis: From Empiric Treatment to Antibiogram-Based Tailored Treatment
McDonald, M. W., Kameh, D., Johnson, M. E., Johansen, T. E. B., & MOURAVIEV, V. B. (2024) · Springer eBooks · doi:10.1007/978-3-319-92366-6_7
Diagnostic Stewardship in Clinical Microbiology
Chew, K., Chia, J. W. Z., & Vasoo, S. S. (2023) · ClinMicroNow · doi:10.1002/9781683674849.mcm0003
Microbiology, chlamydia or gonorrhea incidence, and self-diagnosis accuracy in sexually active college women with lower urinary tract symptoms
Guertler, A., Maust, B., Nashimoto, K., & Adams, P. (2024) · Journal of American College Health · doi:10.1080/07448481.2024.2440766
Diagnostic Stewardship in Clinical Microbiology
Chew, K., Chia, J. W. Z., & Vasoo, S. S. (2023) · ClinMicroNow · doi:10.1002/9781683670438.mcm0003
Infections in the Culture of Catheter Urine Specimens and Bladder Biopsies in Women Undergoing Cystoscopy
Lemmon, B., Gopalan, V., Mathialagan, A., Khullar, L., & Khullar, V. (2025) · International Urogynecology Journal · doi:10.1007/s00192-025-06086-1
Commentary on Rapid Molecular Testing for Urinary Tract Infections: A Diagnostic Stewardship Perspective
Wang, L. (2025) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2025.105520
Voided urine collection for urine culture in female dogs with lower urinary tract signs is not a substitute for cystocentesis
Little, L. P., Ruple, A., Olson, B., Steinbach, S. M. L., & Guptill, L. F. (2025) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.25.03.0198
Comparing the accuracy of the urinary tract infection symptom assessment and the acute cystitis symptom score questionnaires in diagnosis of acute uncomplicated cystitis in women
Chou, Y.-J., Chang, S., & Yang, S. S. (2025) · Korean journal of urology · doi:10.4111/icu.20240380
Management of Asymptomatic Bacteriuria in Adult Female Populations
Siddiqui, N. Y., Ackerman, A. L., Advani, S. D., Chai, T. C., Chu, C. M., Falk, K. N., Jeney, S. E. S., & Bradley, M. S. (2025) · Urogynecology · doi:10.1097/spv.0000000000001731 · Cited by 1
Rethinking urinary tract infections in women with abdominal pain in pregnancy: a prospective case-control study
Currie, J. L. D., James, C. P., Rohn, J. L., & David, A. L. (2026) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-026-08835-6
Principles of Urine Microscopy and Microbiological Culture
Subudhi, C. P. K. (2012) · Springer eBooks · doi:10.1007/978-1-4471-2422-1_29
Clinical Diagnosis of Urinary Tract Infection—Reply
Bent, S., Nallamothu, B. K., Fihn, S. D., & Saint, S. (2002) · JAMA · doi:10.1001/jama.288.10.1229-b
Self-citation
Urine Analysis as a Reliable Indicator of a Urinary Tract Infection: A Cross-Sectional Study
Khan, Z., Ullah, Z., Alwakeedi, A., Majeed, I., & Snyder, J. W. (2026) · Cureus · doi:10.7759/cureus.101074
Mictieklachten bij vrouwen
Platteel, T. N., Norg, R. J. C., & de Reijke, T. M. (2026) · doi:10.1007/978-90-368-3158-1_38
Engineered CeO 2−x /Au Nanocomposite Enabled Colorimetric‐Terahertz Bimodal Sensing of Urinary Tract Infection Pathogens
Ma, J., Zhang, Q., Zhao, C., Huang, Y., Li, S., Wang, L., & Xiang, Y. (2026) · Advanced Functional Materials · doi:10.1002/adfm.77870
UTI and Bacteriuria During Pregnancy: One and the Same?
Trautner, B. W., & Gupta, K. (2026) · CMI Communications · doi:10.1016/j.cmicom.2026.105220
Infección urinaria
Karram, M. M., & Kleeman, S. D. (2008) · Elsevier eBooks · doi:10.1016/b978-84-458-1814-5.50032-1
Interstitial nephropathies and pyelonephritis in the aged
Dontas, A. S., & Tzias, Y. D. (1987) · Elsevier eBooks · doi:10.1016/b978-0-407-00395-8.50019-3

Authors: Stamm, W. E., Counts, G. W., Running, K. R., Fihn, S., Turck, M., & Holmes, K. K.
ORCID: Holmes, King K.
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 1982-08-19
Volume: 307
Issue: 8
Pages: 463-468
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejm198208193070802
OpenAlex: W2323054812
Cited by: 760
References: 17
Citations by year: 2026: 6 · 2025: 9 · 2024: 18 · 2023: 20 · 2022: 18 · 2021: 16 · 2020: 13 · 2019: 17 · 2018: 18 · 2017: 11 · 2016: 28 · 2015: 23 · 2014: 20 · 2013: 16 · 2012: 17
FWCI: 34.48
Type: journal article
Language: en
Open access: closed
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Urology › Urinary Tract Infections Management
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Urology and Nephrology Studies
Keywords: lower urinary tract infection, dysuria, women, diagnostic criteria, midstream urine culture, urethral culture, vaginal culture, sensitivity and specificity, asymptomatic women
MeSH terms: Acute Disease, Enterobacteriaceae, Enterobacteriaceae Infections, Female, Humans, Specimen Handling, Urinary Tract Infections, Urination Disorders, Urine

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Diagnosis of Coliform Infection in Acutely Dysuric Women

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks