Postpartum surveillance for urinary tract infection: Patients at risk of developing pyelonephritis after catheterization

Col Robert Col, Virginia L. Thomas, Gabriel W. Hui

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Asymptomatic postpartum bacteriuria occurred in ten of 354 patients not catheterized (2.8%) and in 19 of 313 patients who were catheterized (6.1%). Obstetric lacerations were commonly associated with bacteriuric patients who were not catheterized. Primigravidas as a total group were more likely to have significant bacteriuria. Nine of 23 patients with urinary retention (39.1%), requiring catheterization for longer than 24 hours, developed asymptomatic bacteriuria; urinary tract infection tended to be progressive in these patients, ascending from lower to upper urinary tract involvement. Using the fluorescent antibody (FA) test, antibody-coated bacteria were demonstrated in specimens from five of these nine patients (56%), indicating silent renal infection.

Original languageEnglish (US)
Pages (from-to)1273-1275
Number of pages3
JournalSouthern medical journal
Volume70
Issue number11
DOIs
StatePublished - Nov 1977
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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