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KMID : 0358319870280050645
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Korean Journal of Urology
1987 Volume.28 No. 5 p.645 ~ p.652
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Asymptomatic Bacteriuria in Schoolgirls
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이상곤/Lee SK
양거영/박찬정/박영의/Yang KY/Park CJ/Park YE
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Abstract
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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.
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