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Urinalysis for Bacteriuria

Authors: William P. Reed; Fred Hashimoto; Krisna Chongsiriwatana;

Urinalysis for Bacteriuria

Abstract

To the Editor.— We enjoyed reading the article by Komaroff et al in the JulyArchives(138:1069-1073, 1978) and agree that the urinalysis, particularly the examination for bacteriuria, can be helpful in discriminating between a urinary tract infection and vaginitis. In their study, Kunin's criterion 1 was used, which considers the counting of one to ten bacteria in an unstained urine sediment in a high-power dry microscopic field as a positive result. With 10 5 /cc bacteria denoting an important level of bacteriuria, Kunin's method results in approximately 12% false-positives and about that many false-negatives. We favor checking for bacteriuria in an unspun urine specimen stained with methylene blue. This technique eliminates variabilities of urine centrifugation and affords better visualization of bacilli; the dye aids in distinguishing cocciform bacteria from urinary debris. 1 Approximately 1/30,000 cc is contained in one highpower field, so that seeing one bacterium per field correlates

Keywords

Methylene Blue, Bacteriological Techniques, Bacteriuria, Staining and Labeling, Humans, Female, Urine

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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