James R. Johnson, MD; Walter E. Stamm, MD
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To the Editor: In his recent letter (1), Dr. Washington sees as contradictory our proposing both that clinical laboratories should detect and report bacteriuria down to a level of 103 colony forming units (cfu) per mL and that urine cultures should be omitted in many cases of uncomplicated acute cystitis (2). Our recommendation to omit pretherapy urine cultures applies only to women with suspected acute cystitis who have no known complicating factors, whose clinical presentation is straightforward, and in whom the urinalysis supports the diagnosis of a bacterial urinary tract infection. When a urinary tract infection is suspected in other
Johnson JR, Stamm WE. Bacterial Cultures for Cystitis. Ann Intern Med. ;112:966. doi: 10.7326/0003-4819-112-12-966_1
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Published: Ann Intern Med. 1990;112(12):966.
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