Prevalence of asymptomatic bacteriuria in patients presenting for total hip or knee replacement.
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Biomedical subjects
Publications and source records attributed to S I Gorrie.
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Women with acute lower urinary tract symptoms were enrolled in a randomised, double blind study and received either a single 400 mg dose of enoxacin or a single 600 mg dose of trimethoprim. Twenty of 29 women with bacterial cystitis were cured with enoxacin and 22 of 26 with trimethoprim. Both drugs were highly effective for the treatment of Escherichia coli, but enoxacin was disappointing for the eradication of Staphylococcus saprophyticus. Side effects were minimal. Single dose therapy is recommended as the treatment of choice for bacterial cystitis in general practice.
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The prevalence of asymptomatic bacteriuria was assessed in women using different contraceptive methods. Three hundred and twenty women attending a family planning centre were studied, 80 in each of the following groups: diaphragms, intrauterine contraceptive devices (IUCDs), oral contraceptives (OCs) and no contraception. The numbers with asymptomatic bacteriuria in the 4 groups were as follows: diaphragm - 12 (all E coli); IUCD - 3 (E coli; P mirabilis; S saprophyticus); OC - 5 (all E coli); no contraception - 4 (3 E coli; 1 S saprophyticus). The prevalence of Gram-negative bacteriuria in women using diaphragms was significantly higher than for women in the other groups (chi 2 = 8.98; p less than 0.05). Factors such as parity, numbers of sexual partners and frequency of sexual intercourse had no apparent effect. The use of diaphragms may contribute to the risk of Gram-negative urinary tract infections in sexually active women.