Retzke U, Loth M, Waitz I, Liebetrau B
Frauenklinik, Bezirkskrankenhauses Suhl.
Zentralbl Gynakol. 1990;112(15):963-8.
In 225 puerperant urine proofs were taken both by suprapubic puncture and by mid stream technique. The corresponding proofs were examined culturally and microscopically. 42% of the mid stream proofs containing more than 10(5) germs/ml were evaluated to be false-positive. The corresponding urine taken by suprapubic puncture was uninfected. A pathologic leucocyte-count is just a little representative for urinary tract infection as a normal leucocyte count excludes an infection. Therefore, the counting of leucocytes is worthless and should be given up to the favour of bacteriologic examinations. Every ward for puerperant should presuppose the technique to take urine proofs by suprapubic puncture.
对225名产妇分别采用耻骨上穿刺法和中段尿采集法采集尿液样本。对相应样本进行培养和显微镜检查。42%的中段尿样本每毫升细菌含量超过10⁵个,被判定为假阳性。而通过耻骨上穿刺采集的相应尿液未受感染。病理性白细胞计数对尿路感染的代表性不强,因为正常的白细胞计数可排除感染。因此,白细胞计数毫无价值,应摒弃,转而支持细菌学检查。每个产妇病房都应预设采用耻骨上穿刺法采集尿液样本的技术。