Kazmierczak A
Ann Biol Clin (Paris). 1976;34(2):89-97.
The main object of the present article was to show that, independently of the clinical symptoms, the results of three laboratory examinations permit one to make the diagnosis of urinary infection and its degree of severity. 1) Bacteriuria equal or greater than 10(3) bacteria per ml is already significant of an urinary infection and infection of tissues of the urinary tree. If leukocyturia accompanies this bacteriuria, this does not necessarily show the degree of the infection. 2) The demonstration of specific serum antibodies of the bacterial species responsible for the infection (agglutination technique) is evidence of infection of tissues of the urinary tree, sometimes before the onset of radiological lesions. Furthermore, supervision of the course of the titer of these antibodies assesses the efficacy of the antibiotic treatment undertaken. 3) Using an immunofluorescent technique, the discovery of bacteria antibody immune complexes in the urinary sediment is also a sign of infection of the tissues of the urinary tree.
本文的主要目的是表明，独立于临床症状之外，三项实验室检查结果能让人做出尿路感染及其严重程度的诊断。1）每毫升尿液中细菌尿等于或大于10³个细菌，这已表明存在尿路感染及尿路组织感染。如果菌尿伴有白细胞尿，这不一定能显示感染程度。2）证明引起感染的细菌种类的特异性血清抗体（凝集技术）是尿路组织感染的证据，有时在放射学病变出现之前。此外，监测这些抗体滴度的变化过程可评估所进行的抗生素治疗的疗效。3）使用免疫荧光技术，在尿沉渣中发现细菌抗体免疫复合物也是尿路组织感染的迹象。
