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Correspondence
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Volume 331:617-618 September 1, 1994 Number 9
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Collection of Urine for Culture

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 by Stamm, W. E.
To the Editor: In the otherwise excellent article on management of urinary tract infections, by Stamm and Hooton (Oct. 28 issue),1 I was surprised to note one small yet important omission. Nowhere in the article is reference made to the frequent need to obtain urine specimens directly from the catheter in women, particularly to document recurrent or relapsing infections. This would seem to be a particularly important step, especially if one follows the article's recommendation to use pyuria, along with symptoms, as an abbreviated diagnostic criterion for simplified treatment of uncomplicated cystitis.

The difficulty of obtaining uncontaminated urine specimens from . . . [Full Text of this Article]

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