PMID: 6985678Jan 11, 1980Paper

Periurethral bacterial flora in women. Prolonged intermittent colonization with Escherichia coli

JAMA : the Journal of the American Medical Association
C M KuninE Postel

Abstract

To determine whether the periurethral flora of women with recurrent urinary infections differ from that of women without infection, a prospective study was conducted of matched premenopausal women. Daily or alternate-day urine cultures in patients and control subjects were obtained for six months to one year, as were daily records of sexual intercourse. Periurethral colonization with the same organism preceded 29 of 31 and six of seven episodes of significant bacteriuria in patients and control subjects, respectively. Prolonged periods of intermittent colonization with the same Escherichia coli serotype were observed in both patients and control subjects. Proportion of days of colonization of E coli or other Gram-negative bacteria was not significantly different between cases and controls and was not influenced by rates of sexual intercourse. Spontaneous cure occurred despite continued sexual intercourse.

Citations

Mar 1, 1990·American Journal of Public Health·B Foxman
Mar 1, 1990·American Journal of Public Health·R P SmithE H Lacombe
Dec 21, 2007·PLoS Medicine·David A RosenScott J Hultgren
Apr 27, 2013·Annals of Clinical Microbiology and Antimicrobials·Sareaa M G Al-Mayahie
Apr 11, 1987·Lancet·W BrumfittJ M Hamilton-Miller
Aug 15, 1996·The New England Journal of Medicine·A Ronald
Aug 15, 1996·The New England Journal of Medicine·T M HootonW E Stamm
Feb 17, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lindsay E NicolleUNKNOWN American Geriatric Society
May 15, 1984·The American Journal of Medicine·J D Sobel, D Kaye
Jan 1, 1990·Journal of Clinical Epidemiology·B Foxman, J W Chi
Jul 20, 2002·The Journal of Urology·Calvin M KuninD Gregory Bates
Aug 19, 1982·The New England Journal of Medicine·W E StammK K Holmes

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