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Prevalence of "low-count" bacteriuria in female urinary incontinence versus continent female controls: a cross-sectional study.

Abstract：

INTRODUCTION AND HYPOTHESIS:Older studies suggesting an association between detrusor overactivity and bacteriuria used an outdated microbiological threshold. We hypothesised that bacteriuria ≥10(3) CFU/ml would be more prevalent in women with urinary incontinence than continent controls. METHODS:A prospective, cross-sectional study of prevalence of bacteriuria ≥10(3) colony-forming units (CFU)/ml on catheter specimens. Sample estimates suggested 62 women per arm would yield 80% power. Multivariate regression analysis was performed using risk factors including, age, diabetes, menopausal status, sexual activity and cystocele. RESULTS:Among 213 participants, bacteriuria ≥10(3) CFU/ml was more prevalent in incontinent women than continent controls (odds ratio [OR] 4.06; p = 0.036). Two thirds of bacteriuric specimens grew "low-count" bacteriuria. On multivariate analysis, only cystocele ≥ grade II was independently associated with bacteriuria (p = 0.025). On sub-analysis by diagnosis, the only significant finding was with bladder oversensitivity (OR 13.8; p = 0.0017). CONCLUSIONS:Bacteriuria, including "low-count" bacteriuria, is more prevalent in urinary incontinence when compared to continent female controls.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Walsh CA,Siddins A,Parkin K,Mukerjee C,Moore KH

doi

10.1007/s00192-011-1506-0

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1267-72

issue

10

eissn

0937-3462

issn

1433-3023

journal_volume

22

pub_type

杂志文章

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