This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (25)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Patrick J. Demuth, MD; Dale N. Gerding, MD; Kent Crossley, MD

Arch Intern Med. 1979;139(1):78-80.

Abstract
One hundred twenty-seven episodes of Staphylococcus aureus bacteriuria were reviewed retrospectively in two hospitals to establish the rate of occurrence, clinical importance, and associated predisposing factors. Staphylococcus aureus was an infrequent urinary isolate, and accounted for only about 1% of all positive urine cultures. Although almost all cases in a Veterans Hospital occurred in elderly men, episodes in a community nospital were observed in women and children as well. Patients usually had pyuria (71%), but only 39% had urinary symptoms or fever. Among predisposing factors, serious underlying diseases were uncommon, but urinary tract manipulations or abnormalities were present in nearly two thirds of patients. Fifty-five percent of cases were nosocomial, and 73% of these were associated with urinary catheterization or other invasive urinary tract procedures. Most patients (61%) were not treated for their bacteriuria, and there was a secondary bacteremia rate of 5.5% in the Veterans Hospital. Although infrequently encountered, the presence of S aureus in urine should be treated with at least as much concern as more frequently encountered bacteria.

(Arch Intern Med 139:78-80, 1979)

Author Affiliations
From the Infectious Disease Section, Department of Medicine, Veterans Administration Hospital, Minneapolis (Dr Gerding); St Paul-Ramsey Hospital, St Paul, Minn (Dr Crossley); and University of Minnesota Medical School, Minneapolis (Drs Demuth, Gerding, and Crossley).

Footnotes
Accepted for publication Sept 19, 1978.

Reprint requests to Infectious Disease Section, Veterans Administration Hospital, 54th St and 48th Ave S, Minneapolis, MN 55417 (Dr Gerding).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Staphylococcal Bacteremia and Endocarditis: State of the Art
Bayer
Arch Intern Med 1982;142:1169-1177.
ABSTRACT