TY - JOUR
T1 - Staphylococcus aureus Bacteriuria
AU - Demuth, Patrick J.
AU - Gerding, Dale N.
AU - Crossley, Kent B
PY - 1979/1
Y1 - 1979/1
N2 - 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.
AB - 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.
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U2 - 10.1001/archinte.1979.03630380056019
DO - 10.1001/archinte.1979.03630380056019
M3 - Article
C2 - 760687
AN - SCOPUS:0018640569
SN - 0003-9926
VL - 139
SP - 78
EP - 80
JO - Archives of Internal Medicine
JF - Archives of Internal Medicine
IS - 1
ER -