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Bacteriuria, Weighted Algorithmic Assessment Criteria, and the Consumer

Ann Intern Med. 1977;86(5):647-648. doi:10.7326/0003-4819-86-5-647
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The traditional method of determining the outcome of treatment of urinary tract infections is to obtain follow-up urine cultures. In simple terms, negative cultures mean successful outcomes and positive cultures connote failure. A poor method of assessing outcome is to rely on the presence or absence of symptoms (1-5). The latter premise is epitomized by the term "asymptomatic bacteriuria," the title of scores of publications over the past two decades. In this issue, Rubenstein, Mates, and Sidel (p. 617) report the results of process and outcome of care of patients with urinary tract infections from a study conducted in two




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