Woolfrey B F, Ireland G K, Lally R T
Am J Clin Pathol. 1986 Sep;86(3):324-9. doi: 10.1093/ajcp/86.3.324.
During a 15-month period, 12,343 consecutive routine urine cultures from female patients were screened for the presence of Gardnerella vaginalis. Of the positive urine cultures, Escherichia coli was found in 1,256 (57%) and presumptive G. vaginalis in 163 (5%). Of the 163 presumptive G. vaginalis isolates, 115 were present in quantitative categories sufficient to suggest the diagnosis of probable urinary tract infection. Of these 115 isolates, 92 were available for specific identification, of which 69 (75%) proved to be G. vaginalis. Comparison of clinical urinary tract diagnoses for the 69 G. vaginalis patients and a matched cohort of E. coli patients showed a significant correlation of E. coli recovery with the diagnosis of urinary tract infection and a significant correlation of G. vaginalis recovery with no urinary tract infection. G. vaginalis was frequently recovered from nonsymptomatic pregnant patients. G. vaginalis appeared at best to be an uncommon urinary tract pathogen.
在15个月的时间里，对12343例来自女性患者的连续常规尿培养样本进行了阴道加德纳菌检测。在尿培养阳性样本中，1256例（57%）检测出大肠杆菌，163例（5%）检测出疑似阴道加德纳菌。在163株疑似阴道加德纳菌分离株中，115株的定量结果足以提示可能的尿路感染诊断。在这115株分离株中，92株可进行特异性鉴定，其中69株（75%）被证实为阴道加德纳菌。对69例阴道加德纳菌感染患者和匹配的大肠杆菌感染患者队列的临床尿路感染诊断进行比较，结果显示大肠杆菌的检出与尿路感染诊断显著相关，而阴道加德纳菌的检出与无尿路感染显著相关。阴道加德纳菌经常在无症状的孕妇中检出。阴道加德纳菌充其量似乎是一种不常见的尿路病原体。
