John A. Washington, MD
To the Editor: In their recent review on the diagnosis and treatment of urinary tract infections in women, Johnson and Stamm (1) have raised some difficult, if not self-contradictory, issues. Previous studies by Stamm and colleagues (2) of acutely dysuric young women, most of whom were seen at the University of Washington Student Health Center, established the fact that (in carefully collected urine specimens) Escherichia coli, Staphylococcus saprophyticus, and Proteus mirabilis in the order of magnitude of 102 to 104 cfu/mL are clinically significant. This observation has led Johnson and Stamm (1) to recommend that clinicians encourage their clinical laboratory
Washington JA. Bacterial Cultures for Cystitis. Ann Intern Med. ;112:387–388. doi: 10.7326/0003-4819-112-5-387
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Published: Ann Intern Med. 1990;112(5):387-388.
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