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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
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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.

Overview

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Crossref · 10.1056/nejm198208193070802

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17 of 17 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 3

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

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Metadata

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

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