Papers And Originals

Asymptomatic Urinary Tract Infection in Gynaecological Outpatients

Br Med J 1969; 1 doi: (Published 04 January 1969) Cite this as: Br Med J 1969;1:29
  1. J. D. Williams,
  2. J. L. Thomlinson,
  3. J. G. L. Cole,
  4. E. Cope


    In this study mid-stream specimens of urine were collected from all new patients attending a gynaecological outpatient department and tested for significant bacteriuria. Those having an asymptomatic infection were folloWed up, treated, and investigated adiologically.

    Of 1,506 women screened for bacteriuria 82 (5·4%) were found to have a persistent infection. The predominant organism was Escherichia coli, present in 83% of infections. Treatment with sulphonamides produced a good cure rate, which was improved by ampicillin given to failures. Some patients, however, had infections that persisted or recurred despite several antibiotics. The radiological investigations showed that a high proportion of women with asymptomatic urinary infection had severe renal disease which was quite symptomless. This was more pronounced in those with persistent or recurrent infections.