4-Fluoroquinolones and Lactobacillus spp as emerging pathogens.
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Biomedical subjects
Publications and source records attributed to R Maskell.
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82 strains of slow-growing, CO2-dependent, gram-positive organisms have been isolated from the urine of 9 male and 73 female patients. 100% of the men and 93% of the women had urinary symptoms at the time of isolation, and 66% of the specimens showed pyuria. These organisms might account for the urinary symptoms of some patients previously diagnosed as having "urethral syndrome". Preliminary data show that, if appropriate antibacterial treatment is given, most of these patients become symptom-free, and the organism can no longer be isolated from the urine.
Out of 87 patients who underwent micturating cystourethrography (M.C.U.) 14 had infection at the time of the procedure, and infection later developed in 18 patients. The occurrence of post-M.C.U. infection was significantly influenced by whether the patient was on antibacterial treatment at the time of the procedure, but not by the sex of the patient, difficulty of catheterisation, or radiological abnormality. Hence, antibacterial prophylaxis should be given, and subsequent urine culture is mandatory.
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