Significance of pyuria and bacteria in chronic spinal cord injury Patients
Medical Journal of Cairo University [The]. 1997; 65 (3): 591-5
in English
| IMEMR
| ID: emr-45752
ABSTRACT
Five hundred patients with chronic spinal cord injury have been studied clinically, radiologically and bacteriologically over a period of one year. Methods of urinary drainage included condom [300], catheter [63], bladder training [107] and intermittent catheterization [30]. 96% of patients had significant pyuria [>5 WBC/HPF]. Low pyuria level [5-30 WBC] was associated with 90% incidence of bacteriuria and 7.5% incidence of symptomatic urinary tract infection. Moderate pyuria [30-100 WBC] was 28%, incidence and high pyuria [>100 WBC] was 19%, incidence and both were similarly associated with 100% incidence of bacteriuria and 25% incidence of symptomatic urinary tract infection. Bacteriuria was presented in 91.2% of all patients. Symptomatic bacteriuria was presented in only 16.4% of bacteriuric patients. The most common isolated organisms were E. coli [65%] and Proteus mirabilis [22%]. In conclusion, low pyuria level [<30 WBC/HPF] has less bacteriuria and lower incidence of symptomatic urinary tract infection. On the other hand, pyuria level [>30 WBC/HPF] has a higher incidence of symptomatic infection. Symptomatic bacteriuria is presented in only 16.4% of bacteriuric patients. Antimicrobial therapy is recommended in pyuria level [>30 WBC/HPF] and symptomatic bacteriuria
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Pyuria
/
Bacteriuria
/
Urinary Tract Infections
/
Chronic Disease
/
Risk Factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Med. J. Cairo Univ.
Year:
1997
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