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Cleveland Clinic Journal of Medicine Sep 2007
Review
Topics: Anti-Bacterial Agents; Arthroplasty, Replacement; Bacteriuria; Humans; Preoperative Care; Pyuria; Urinalysis
PubMed: 18376497
DOI: 10.3949/ccjm.74.electronic_suppl_1.s17 -
Praxis Jan 2017
Randomized Controlled Trial
Topics: Aged; Capsules; Double-Blind Method; Female; Homes for the Aged; Humans; Nursing Homes; Phytotherapy; Pyuria; Treatment Failure; Urinary Tract Infections; Vaccinium macrocarpon
PubMed: 28103171
DOI: 10.1024/1661-8157/a002575 -
Pediatric Nephrology (Berlin, Germany) Jul 2007To identify the origin of urinary leukocytes in Kawasaki disease (KD) patients with pyuria, we prospectively studied clinical and laboratory findings of 23 KD patients.... (Comparative Study)
Comparative Study
To identify the origin of urinary leukocytes in Kawasaki disease (KD) patients with pyuria, we prospectively studied clinical and laboratory findings of 23 KD patients. Patients were divided into three groups: patients without pyuria, patients with pyuria in both voided urine and bladder urine obtained by transurethral catheterization (bladder pyuria) and patients with pyuria only in voided urine (urethral pyuria). Pyuria in voided urine was found in ten of 23 KD patients (43.5%), with subsequent urine cultures proving sterile. Five out of ten patients with pyuria in voided urine also exhibited pyuria in bladder urine, whilst the remaining patients did not have pyuria in bladder urine. Urinary protein levels were higher in patients with bladder pyuria and in patients with urethral pyuria than in patients without pyuria. Urinary beta2-microglobulin concentrations and serum blood urea nitrogen (BUN) and creatinine levels were higher in patients with bladder pyuria than in patients with urethral pyuria or in patients without pyuria, although the serum BUN and creatinine levels of patients with bladder pyuria were within the normal ranges. These results suggest that some patients with KD develop sterile pyuria that originates from the urethra and/or the kidney as a result of mild and subclinical renal injury.
Topics: Blood Urea Nitrogen; Child, Preschool; Creatinine; Female; Humans; Infant; Kidney; Male; Mucocutaneous Lymph Node Syndrome; Proteinuria; Pyuria; Urethritis; beta 2-Microglobulin
PubMed: 17323086
DOI: 10.1007/s00467-007-0449-7 -
NEJM Evidence Sep 2023Antibiotics for Delirium and Pyuria or BacteriuriaDelirium is common among hospitalized older adults, frequently leading to initiation of antibiotics when pyuria or...
Antibiotics for Delirium and Pyuria or BacteriuriaDelirium is common among hospitalized older adults, frequently leading to initiation of antibiotics when pyuria or bacteriuria is detected. However, it is difficult to determine if pyuria or bacteriuria is the cause of delirium or incidentally identified. This article proposes a trial to assess if treatment with antibiotics hastens delirium resolution.
Topics: Humans; Aged; Pyuria; Bacteriuria; Anti-Bacterial Agents; Delirium
PubMed: 38320202
DOI: 10.1056/EVIDtt2300119 -
Pediatrics Nov 2016
Topics: Bacteriuria; Humans; Pyuria; Urinary Tract Infections
PubMed: 27940802
DOI: 10.1542/peds.2016-2877 -
International Journal of Urology :... Jul 2015
Topics: BCG Vaccine; Female; Humans; Male; Neoplasm Recurrence, Local; Pyuria; Urinary Bladder Neoplasms
PubMed: 25941035
DOI: 10.1111/iju.12802 -
Pediatric Nephrology (Berlin, Germany) Mar 2004
Topics: Diagnosis, Differential; Humans; Infant; Mucocutaneous Lymph Node Syndrome; Pyuria; Retrospective Studies
PubMed: 14745638
DOI: 10.1007/s00467-003-1394-8 -
Lancet (London, England) Aug 1990
Topics: Adolescent; Adult; Chlamydia Infections; Chlamydia trachomatis; Enzyme-Linked Immunosorbent Assay; Female; Fluorescent Antibody Technique; Humans; Male; Pyuria; Sensitivity and Specificity
PubMed: 1975372
DOI: 10.1016/0140-6736(90)91936-5 -
Mayo Clinic Proceedings Nov 2021
Topics: Aged; Biopsy; Carcinoma, Papillary; Cystoscopy; Diagnosis, Differential; Dissection; Humans; Male; Neoplasm Grading; Neoplasm Staging; Prognosis; Pyuria; Urinary Bladder Neoplasms; Urothelium
PubMed: 34736606
DOI: 10.1016/j.mayocp.2021.08.022 -
Journal of the American Board of Family... 2014The objective of this study was to determine the incidence, associations, evaluation, and management of pyuria in patients admitted to the hospital with nonurinary...
OBJECTIVES
The objective of this study was to determine the incidence, associations, evaluation, and management of pyuria in patients admitted to the hospital with nonurinary infections.
METHODS
This study abstracted inpatient records of consecutive patients hospitalized for pneumonia, intra-abdominal infections, female genital tract infections (GYN infections), bacterial septicemia, and enteritis in the pediatric and adult medical and surgical units at an academic medical center.
RESULTS
The study population included 210 patients (66 children; 144 adults). Nearly one-third had ≥5 white blood cells (WBCs) per high-power field (pyuria). Pyuria was more common in women (P < .001) and in patients with GYN infections (P = .001) and less common in patients with pneumonia (P < .001). Cultures were performed on 18 of 19 children (94.7%) and 26 of 43 adults (60.5%) with pyuria. Of those, 11.1% of children and 42.1% of adults had a positive culture, and all but one of those met criteria for a urinary tract infection. Excluding patients with GYN infections, only 18.8% of patients with pyuria had a positive culture. Of the 44 patients with pyuria who were cultured, a positive culture was associated with having a GYN infection (P = .01), moderate or large amounts of bacteria in the urine (P = .005), and a positive urine nitrite (P = .004). The absolute number of WBCs or red blood cells in the urine and the presence of casts, proteinuria, and leukocyte esterase were not associated with positive culture or urinary tract infection. Neither pyuria nor a positive culture was related to temperature, systemic WBC count, or serum albumin, blood urea nitrogen, or creatinine.
CONCLUSIONS
Sterile pyuria of uncertain cause is common in patients admitted to the hospital with acute nonurinary infections.
Topics: Adult; Bacteriuria; Child; Female; Humans; Incidence; Inpatients; Male; Oklahoma; Pyuria; Retrospective Studies
PubMed: 24390891
DOI: 10.3122/jabfm.2014.01.130084